Request Appointment

858-731-6013

Deborah Moyer, LMFT

Counseling & Therapy

  • Home
  • Services
    • List of Services
    • Individual Relationship Counseling
    • Trauma Therapy
  • Getting Started
    • Appointment Request
    • Client Forms
  • About Me
  • FAQs
  • Contact
  • Blog

Client Forms

You will find my intake forms below. If you’d like, please print them out and complete them before your first session. The questions are designed to help me begin to understand you and to allow us to spend your time as productively as possible. If there are any questions that are too difficult to answer in writing, just leave them blank and we can discuss them in session when you are ready. All information provided is confidential.

Intake Questionnaire

Informed Consent

Notice of Privacy Practices

Acknowledgement of Receipt of Privacy Practices

At times it may be appropriate for me to consult with your other providers, such as your psychiatrist or physician. You may provide authorization using the form below.

Authorization to Exchange Confidential Information

License #86357


Email Me

(858) 731-6013
11440 W. Bernardo Ct.,
Suite 200
San Diego, CA 92127

 

Deborah Moyer, LMFT

deborah@deborahmoyercounseling.com
858-731-6013
11440 W. Bernardo Ct., Suite 200
San Diego, CA 92127

Useful Links

  • Counseling FAQ’s
  • Appointment Request
A Therapist Website by BrighterVision | Privacy Policy

Copyright 2018 Deborah Moyer Counseling, Inc