Marisa Nava, Ph.D.
Licensed Clinical Psychologist
If you are a new client, please complete the following forms and bring them to your first session. The Services Agreement included in each registration packet will also provide you with more information about my practice.
To be completed by new clients requesting therapy services.
- Agreement if Parents are Separated/Divorced (needed prior to the start of treatment)
- Background History Form
- Registration Packet - Adults (18 and older)
Co-Parenting/Collaborative Law/Reunification/Mediation Forms:
***Co-Parenting, Collaborative Law, Reunification, and Mediation Services CANNOT be billed through insurance.
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:
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.