Alison Freeman, Ph.D.
Hear With Your Eyes Therapy
Alison Freeman, Ph.D., Ca Lic: PSY 10597
(310) 712-1200
drafreeman@verizon.net
Helpful Forms

If you're a new client, please read and complete the following forms and bring them to your first session.

  • Child intake form or Adult intake form
  • Consent for treatment form
  • Limits of Confidentiality/Cancellation Policy Form
  • Release of information form
  • Policies

 If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form:

  • Consent to Release Information Form

 


Adult Intake Form-Deaf
Child Intake Form-Deaf
Confidentiality
Release of Information Form
Three Questions
Consent for Treatment of Minors

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