Holly LaBarbera, LMFT

Psychotherapy for Individuals, Adolescents, Couples and Families

Help for individuals, adolescents,
couples & families

(510) 402-2855

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Forms

To save time at your first appointment, you may fill out these forms ahead of time.

Adult Individuals:

  • Client Information Form (Adult)
  • Professional Disclosure for Adult Individuals

Teens/Minors:

  • Client Information Form (Minor)
  • Professional Disclosure for Minor Individuals

Couples:

  • Client Information Form (Adult)
  • Professional Disclosure for Couples

You may need these forms later:

  • Credit Card Authorization
  • Release of Information

Holly LaBarbera, LMFT
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Licensed Marriage
and Family Therapist
#84042

39825 Paseo Padre Parkway, Suite C
Fremont, CA 94538

info@hollylabarbera.com
Tel: (510) 402-2855

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