Potrero Hill Psychotherapy
Counseling for Individuals, Couples and Families Since 2002
Potrero Hill Psychotherapy
1529 20th Street
San Francisco, CA 94107
415.487.7402
php@potrerohillpsychotherapy.com
Helpful Forms

If you're a new client, please complete the following form.

  • Client Psychotherapy Intake 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

Client Psychotherapy Intake Form  
   
Authorization to Disclose Information Form  

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