Please download, look over and fill out all of the following paperwork before our first session.

Once your paperwork is filled out and signed you can securely upload it HERE

Intake paperwork 
(Downloadable PDFs)


Client Info Form

To be filled out by each person in the session

Email & Text Consent

To be filled out by each person in the session

Consent for Therapy
One copy that everyone signs


Consent for Telehealth 

One copy that everyone signs


Social Media Policy
One copy that everyone signs

Consent for Taping

One copy that everyone signs

 


Documents to read before our session:

E-pay Disclosure 
Email & text risks 
Office map 

No signatures required

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Ayala Kalisher

Associate Marriage and Family Therapist, AMFT 115859

Supervised by

Sheila Addison, LMFT 49616

Employed by Margin to Center Consulting

Office

154 Santa Clara Ave.
Suite 7
Oakland CA 94610 

Appointments: (707) 536-1043

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©2020 All Rights Reserved by Ayala Kalisher