Palo Alto Parenting Solutions
“You must be the
 change you seek in
 the world”
– Gandhi
Specialities: ADHD, Adoption, Anxiety, Asperger's, Depression, Parent Coaching Telephone: 650.339.5101
 
Forms

Please print the following forms, fill out the appropriate information and bring them to your first visit. This will allow us to start as quickly as possible.

Release of Information Consent
PDF

Client Information
PDF

Agreement For Service/Informed Consent For Minors
PDF

Office Policies & Information Agreement for Psychotherapy Services Informed Consent
PDF

Notice of Privacy Practices
PDF

Friendship Solutions Application
PDF


    Alice Locke Chezar
m.a., mft, atr
alice@paloaltoparenting.com


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