Jennifer Hanlin, MS, RD, MFT Pychotherapy for Individuals, Couples and Families and Nutrition Consultation

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  • Nutrition Common Questions
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Jennifer Hanlin
(714) 914-0673
jehanlin@hotmail.com
Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

  • Client Psychotherapy Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy
  • HIPPA Form

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

  • Authorization to Disclose Information Form
For Nutrition Consultation please complete the following.
  • Nutrition Assessment
  • HIPPA Form
  • Office Guidelines

Client Psychotherapy Intake Form
Limits of Confidentiality/Therapy Cancellation Policy
Authorization to Disclose Information Form
Nutrition Assessment
HIPPA Form Patient Confideniality Practices
Office Guidelines

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