Alison Freeman, Ph.D.
Ca Lic#: PSY 10597
(310) 712-1200
drafreeman@verizon.net
  • 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