714-675-4402 | Michael@IrenicCounseling.com

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Client Forms

If you are new to therapy or counseling, please be sure to fill out the following forms, and bring them to your first session. This will help ease you into therapy and allow as much time as possible to focus on you.

New Client Information

Consent for Treatment

Limits of Confidentiality

Notice of Privacy Practices

Client Family Information

Financial Agreement

Authorization for Release of Information

 

 

Michael Miller
M.A. LMFT LMFT#92104
714-675-4402
Michael@IrenicCounseling.com
26461 Crown Valley Parkway, Suite 100 Mission Viejo, CA 92691

Michael Miller's profile on the Gottman Referral Network

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26461 Crown Valley Parkway, Suite 100
Mission Viejo, CA 92691

714-675-4402
LMFT#92104
Michael@IrenicCounseling.com

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