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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

"There's no judgement with Kristen. She doesn't minimize my concerns." — Lindsey, Carlsbad

"Casey has really taken the time to ensure that I don't feel abnormal or judged. She has given me resources and homework that was effective and relatable. She did a great job in helping me feel safe."
— Lauren, Carlsbad

“Casey has helped me see maladaptive thinking patterns. She is always supportive, patient, and insightful.”
— Joseph, Oceanside

"Jennifer has helped me beyond words through my ex's affair, my divorce, and my sons autism. She is amazing!"
— Sarah C., Carlsbad

"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

"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 keeps me focused and I like her calm energy."
— Marcus, Carlsbad

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

"Sue is an amazing therapist. She made me feel very comfortable and gave me a lot of useful resources and homework to do between sessions. She did a great job of making me feel that I was capable of getting past my struggles. I would highly recommend her."
— Joe, San Diego

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