Marisa Nava, Ph.D.

Licensed Clinical Psychologist

Helpful Forms

If you are a new client, please complete the following forms and bring them to your first session. The Services Agreement will also provide you with more information about my practice.

Psychotherapy Forms:

To be completed by new clients requesting evaluation and/or therapy services.

Co-Parenting/Collaborative Law/Mediation /Reunification Forms:

***If you are coming in for collaborative law services or mediation services, additional paperwork maybe completed during our session.

Release of Information

If you would like me to coordinate care with another provider (for example, your child's pediatrician, psychiatrist, teacher, etc.), please complete this form:

Telehealth

If you are interested in using Teleheath (video conferencing) for sessions, I will email you forms and the link to the virtual waiting room for our sessions. 

Marisa Nava, Ph.D.

Phone: 843-216-2968

Fax: 866-458-4479

[email protected]