Begin Your Healing Today

(949) 933-6103

Deborah Phillips, MA, LMFT

Marriage & Family Therapist - LMFT52563

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The journey of a thousand miles begins beneath one's feet

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Registration/Intake Forms

If you're an adult client (18 yrs or older), please print and complete the Adult Forms and bring them to your first therapy session. If you are coming as a couple please print and complete the Couples Forms, have spouse complete their information.

 BOTH sign and initial where indicated. 


Adult Forms: Word format

Adult Forms: PDF format

Couples Forms: Word format

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If you're an adult, registering a minor (under age 18), please print and complete the Children Forms and bring them to your first therapy session, with copies of court custody documents (if applicable)


Children Forms: Word format

Children Forms: PDF format