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Let's take the first steps...

Please be sure to return these forms via email to me (holdenmt@drmariaholden.com) before our first meeting. 

To download the forms, click on the arrow in the upper-right corner. Then you can download them from the pop-up window. 

If you cannot fill out the forms digitally, you can print them out and bring them to me during our first meeting, or you can scan and email to me.

Now let's arrange our first meeting...

If you are meeting me for the first time, I will contact you via email after I receive these forms.

Depending on where you live, and your preference, we will meet live or via video.

I use a secure video platform provided by PsychologyToday.

Consent and ROI CA.pdf

Consent Form

Please provide your consent through this form. If applicable, you can also provide me with permission to speak with your M.D., previous therapist, or someone else with whom you have worked professionally around your mental health.

HIPPA CA.pdf

HIPPA Form

Please read this document carefully. It explains laws around confidentiality, and exceptions to confidentiality.

Intake Packet CA.pdf

Intake Questionnaire

In this form, you will provide me with information about your background. There is also additional information here about my policies.

Cancellation Policy Letter CA Word.pdf

Cancellation Form

This form is about standard policies for no-shows or cancellations less than 24 hours prior to the meeting.

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PsychologyToday (CA) | PsychologyToday (NY)

Tel: (415) 215-2847 

All services provided to CA clients via video

Licensed in NY and CA

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