Julie Laraway, LMFT

Licensed Marriage & Family Therapist            License: MFT41695 

Restoring Hope & Healing

Child, Teen, Adult & Family Therapy

Forms and Paperwork

New Client Forms:

Informed Consent & Office Policies

Good Faith Estimate

Child & Adolescent Intake Form

Adult Intake Form

Additional Forms:

Permission to Disclose Information

Child: Authorization to Disclose Information

Adult: Authorization to Disclose Information

verified by Psychology Today

25050 Peachland Avenue, Suite 250      Newhall, CA.   91321              Phone:   (661) 236-8925             Email: [email protected]

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