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Client History Forms

To ensure a smooth and efficient first visit, we kindly ask that you download, complete, and bring your Client History Forms to your initial appointment. These forms provide us with critical information about your health and medical history, allowing us to tailor our care to meet your specific needs. Completing these forms accurately and thoroughly is crucial for us to offer you the best possible care and treatment plans. Should you have any questions while filling out the forms, please do not hesitate to reach out to our office.

HIPAA Forms

Your privacy and the security of your health information are of utmost importance to us. The Health Insurance Portability and Accountability Act (HIPAA) helps safeguard personal health information and gives you better control over how your data is used and shared. We encourage you to carefully read the attached HIPAA documents prior to your first appointment to fully understand your rights and our obligations regarding your health information. For any questions or clarifications, our office staff is readily available to assist you.

Contact Us

If you encounter any issues or have questions about the forms, please contact our office directly. Our team is here to assist you to ensure that your preparation for your appointment is as stress-free as possible.

Our Encino office is centrally located on Ventura Boulevard, easily accessible for patients residing in the San Fernando Valley. This location offers a full range of neuropsychological services in a professional setting designed to make each patient’s visit as informative and comfortable as possible.

Situated in the heart of Burbank, our office is ideally positioned to serve patients from Burbank and the surrounding areas. Patients visiting this location will find a welcoming atmosphere and a team dedicated to providing the highest level of neuropsychological care.