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Forms

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)
Robyn Allard, MA, LMFT	Disclosure Form (General)
Sue Shrinkle, MS, LMFT	Disclosure Form (General)
Eran Montiel, MA, LMFT	Disclosure Form (General)
Cynthia Casey, MA, LMFT	Disclosure Form (General)
Holly Balazs, MA, AMFT	Disclosure Form (General)
Kristen Ford, MA, LMFT	Disclosure Form (General)
Kristy Malone, MS AMFT	Disclosure Form (General)

Testimonials

"I think Jen is a great personality fit for us and does a really good job at getting to the "ugly", especially with feelings. Personally it felt really good to feel validated. Dr. Semmes provides great tips for problem solving and ways to get along as a couple."
— Sandy and Jim, La Jolla

“Casey is very personable- she uses language that I understand. She also is very insightful and is easily able to help me understand those insights. Thus far, I feel like I’ve made progress and important realizations in every session.”
— Jack, Carlsbad

"Sue is very approachable. The tone in her voice throughout the sessions very calming. She adds a little humor to sessions, which is refreshing. Her advice is very clear and straight to the point."
— Dave, Carlsbad

"Sue has been very helpful. She helped give me small goals to help work up to my big goals. She makes me feel safe and comfortable. She has already helped improve my self-confidence and I see a change in my PTSD symptoms. EMDR was scary and she helps relieve the anxiety and helps me feel calm through the process." — Holly, Oceanside

"I really enjoyed working with Jennifer and I would not hesitate to work with her again if needed."
— Holly, San Diego

"Jen is great! She really seems interested and involved. For me, I wanted someone I could relate to (practical, funny, young, open minded) and I can imagine jen as a friend."
— Melissa, Del Mar

"My children adore Kristen. She is very easy to communicate with." — Tamra, Carlsbad

“Eran is very calm, yet responsive. I felt very comfortable talking to him.”
— Alex, 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

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