Helpful Forms

If you’re a new client, please complete the following forms and bring them to your first therapy session.
    • Client Psychotherapy Intake Form
    • Counseling Policies

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
    • Authorization to Disclose Information Form

Note: To download Adobe Acrobat Reader for free, click here.

CONTACT

Kim Kelly Counseling
 (760) 420-5439
333 S. Juniper, Suite 115
Escondido, CA 92025
US

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HELPFUL FORMS

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