Valerie Stern, LCSW
(310) 936-0930
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Helpful Forms


If you're a new client, please complete the following forms and bring them to your first therapy session:
  • Contract and Disclosure
  • Client Intake Form
  • 1500 insurance form


If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
  • Authorization to Disclose Information Form

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