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CC-Forms

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)

Testimonials

— Huey S., LA

"Went to Coastal Counseling when I was going through a very rough time in my life and in my relationship. I found Jen to be very easy to talk to, which made it easier for me to be able to address my issues and move forward, including making needed changes. I highly recommend Jen and thank you for all of your help."
— Huey S., LA

— Helen, Encinitas

"I really like that Kristen is very warm and friendly. Also, she is very encouraging and supportive. She helped me to realize that some of the anxieties and fears I've had are normal because of the situations and circumstances I have been going through." — Helen, Encinitas

— Jenny, Vista

"Sue always had a smile on her face and a friendly, 'Hello, how are you.'"
— Jenny, Vista

— Sophie, Encinitas

"Robyn has an open mind and an open heart. She exercises vulnerability within the therapy sessions, which has allowed for me to feel comfortable and safe to do the same."
— Sophie, Encinitas

— Mary, Oceanside

“I appreciate Casey’s understanding and that she was able to point out negative talk I use with myself. She seems to genuinely care.”
— Mary, Carlsbad

— Jimmy, Carlsbad

“Robyn has been nothing but professional, caring, compassionate and appreciative with me. I could not ask for a better therapist! Robyn has literally saved my life.”
— Jimmy, Carlsbad

— Mel K., Escondido

"Eran works well with my two teenage sons. He is insightful and easy going which makes it easier for my kids to open up to him"
— Mel K., Escondido

— Mae C.

"Thank you for creating a space that makes me feel comfortable and uninhibited. I want you to know that I appreciate the accepting, open environment that you create. I enjoy working with you- I feel I can be honest and uncensored."
— Mae C., Carlsbad

— Theresa, Carlsbad

"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

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Meet Our Therapists

Coastal Counseling Group

Call: (888) 470-4415

Blog – He said, she said…

Social Media: the Relationship Killer?

Scrolling is the New Smoking

The Codependent Relationship

Preparing Your Child for Divorce

When Parents Fight

Testimonials

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