Naphtali Roberts

Client Portal

Welcome to the Client portal.

Please review and click on the appropriate form to complete.

Intake Paperwork

Credit Card Authorization

Minor Informed Consent

Demographic

Notice of Privacy Policies

Financial Agreement

Practice Policies

Informed Consent

Telehealth Consent

Intake

Adult Intake

Child/Adolescent Intake

Couples Intake

Family Intake

Client Forms

Information Update Form

Release of Information

2550 Honolulu Ave, Suite 201

Montrose, CA 91020

818-669-4850

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