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

For All Clients:

• Psychotherapy Consent Form

• Telehealth Consent Form (if applicable)

For adults:

• Adult Intake Form

For children/adolescents:

• Child Intake Form
  

• Minor Consent Form
  

Hippa Forms:

• Notice/Acknowledgement of Privacy Practices
  

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

Release Form:

• Authorization to Disclose Information Form
  

Note: To download Adobe Acrobat Reader for free, click here

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Couples Therapy - Individuals Therapy- Family Therapy- Teen Therapy

Phone: (925) 588-3070

E-Mail: [email protected]

Office located in Brentwood, CA

Address:

1210 Central Blvd., Suite 107

Brentwood, CA 94513 

Providing Marriage and Family Therapy, Counseling Services and Life Coaching to Individuals, Couples, Teens, and Families

Franci Smith provides therapy and counseling services for Individuals, Couples, Teens, Children and Families in the east bay of the SF bay area. She specializes in anxiety, depression, couples counseling, marriage counseling, family counseling, teen issues and life transitions. Her offices are located in Brentwood. The location offers easy freeway access and are close to public transportation. Surrounding cities include Brentwood, Discovery Bay, Oakley, Livermore, Antioch and Pittsburg. .For a sitemap click here.