(925) 298-5203   |   sharlenehanaway@gmail.com

Lafayette Couples Therapy

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Client Forms

Adult typing on a laptop | New Client Intake Forms | Lafayette Couples Therapy | Lafayette, CA 94549If you are new to Lafayette Couples Therapy, please be sure to fill out the following forms, and bring them to your first session. This will allow as much time as possible to be spent focusing on you.

Client Contact Information Sheet

Client Intake

Authorization for Release of Information

 

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Sharlene Hanaway

Phone: (925) 298-5203

Email: sharlenehanaway@gmail.com

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