Client Forms

If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session.

Child Intake Information

Family Intake Information

Authorization to Exchange Confidential Information

Limits of Confidentiality

Dr. Yvonne Miller, LMFT
Doctor of Marriage and Family Therapy
EMDR Certified
Registered Play Therapist


Lic #99234 yvonnemillercounseling@gmail.com
949-838-7289

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