ELIZABETH RAE WALKER
Licensed Marriage and Family Therapist, MFT #31203
(510) 325-6060
elizabethraewalker@sbcglobal.net
HELPFUL FORMS

For New clients:  

Intake Form 

Informed Consent Form (for adults) 
Informed Consent Form (for minors)

No Secrets Policy (for couples and families)

Telemedicine Form (therapy by phone)


Other Forms:

Authorization to Exchange Confidential Information Form. Gives me permission to speak to and coordinate your care with another provider (for example, your psychiatrist, a prior therapist,  etc.)


Authorization to Release Confidential Information.  Gives me permission to speak about your care to someone you designate during a specified period of time




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