Counseling - East Bay, CA
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forms

Below are the forms to review, print, sign, and bring to the first scheduled in-person appointment.
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Informed Consent
File Size: 91 kb
File Type: pdf
Download File

Informed Consent (Couples)
File Size: 91 kb
File Type: pdf
Download File

Contact Information
File Size: 32 kb
File Type: pdf
Download File

Notice of Privacy Practices (Full)
File Size: 102 kb
File Type: pdf
Download File

Notice of Privacy Practices (Brief)
File Size: 57 kb
File Type: pdf
Download File

Concord Office is located at:
1485 Civic Ct, Suite 1358, Concord, CA 94520
(By appointment only)
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Picture

​1485 Civic Ct., Suite 1355, Concord, CA 94520
​(925) 822-3238
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©  2017-2018 Catherine Chan, Ph.D.
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