Helpful Forms

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If you're a new client, please complete the following forms, sign and bring them to your first therapy session. Please do not hesitate to contact me with any questions.

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:


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

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Helpful Forms

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Cynthia Ovalle Plotkin, Psy.D.
  805-493-5155
  5743 Corsa Ave Ste 125 Westlake Village, CA 91362 US
  [email protected]

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