Forms for Download
| Form Type | Forms (Please Click to Download) |
| General Forms | Information form (General), Credit Card Form, and Confidential Information Release Form |
| Dr. Jennifer Semmes, Psy. D., LCSW | Disclosure Form (General) |
| Melanie Goetz, MA, LMFT | Disclosure Form (General) |
| Kristyn Beckstrom, MA, LMFT | Disclosure Form (General) |
| Connie Padera, MSW, ASW | Disclosure Form (General) |
Call today to set up an appointment, schedule an assessment, join a group, or set up a free 15 minute consultation.
631 3rd Street, suite 102
Encinitas, California 92024
"She is amazing! I feel comfortable and at ease and I look forward to each session with Jen."
— Jen, Oceanside
"My daughter looks forward to every Thursday because she enjoys her time with Holly. Holly gives us good coping tools that we use to help our daughter succeed."
— Carolyn, Carlsbad
"Casey was ok with me sitting down on the floor, even joined me in doing so - that made it relatable, more comfortable. I really enjoyed the meditation she played for me; it helped to ground me and relax me."
— DK, Encinitas
"Holly Balazs has helped me so much. She has taught me how to trust again and open up to a counselor. I now use my breathing in and out techniques she has taught me when I get upset or overwhelmed. She is so nice. She has helped shape my life for the better and I can't put into words how thankful I am to have had the change to get her as my counselor."
— Theresa, Carlsbad
"Casey is very genuine, down to earth and confident. She is able to catch subtle things that are indications of my true feelings, i.e. shallow breathing, shifting, body language, and changes in my energy. I am more than happy. I feel safe! And that’s important to me."
— Alfonzo, Dana Point
"Eran is very down to earth and very approachable. He doesn't make me feel like I have issues. He makes me feel ok." — Martina, Oceanside
"I really liked how Jennifer was down to earth and talked to me like a knowledgeable friend. She listened and advised without judgement, which allowed me to open up and be honest, which is the only way to start the treatment process. She helped me turn my life around and made me come to realizations on my own through our conversations."
— Mary, La Palma
"Jen is very good at showing me how to be more positive than confrontational. She is positive, reaffirming, and gentle in her approach. She wants you to succeed and tells you how to get there. She is confident and gets right to the point...all good qualities." — Linda, Carlsbad
"I honestly have been against therapy and was hesitant before working with Robyn. I am so grateful Jennifer referred her to me and not having family or many friends here, I'm beyond appreciative of the support and guidance she has given me in this difficult part of my life!"
— Stephanie, Carlsbad
Copyright © 2019 Coastal Counseling - Encinitas | All Rights Reserved.
Site Designed by O&A Communications
