Tide and Shore Marriage and Family Therapy

(805) 694-0251

Tide and Shore Marriage and Family Therapy

(805) 694-0251

Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

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:

Note: To download Adobe Acrobat Reader for free, Click here.

I hope to see you soon!

  • Tide and Shore Marriage and Family Therapy

    Address

    516 Pennsfield Pl Ste 208,
    Thousand Oaks, CA 91360

    Monday:

    9:00 am - 8:00 pm

    Tuesday:

    9:00 am - 8:00 pm

    Wednesday:

    9:00 am - 8:00 pm

    Thursday:

    9:00 am - 8:00 pm

    Friday:

    9:00 am - 8:00 pm

    Saturday:

    Closed

    Sunday:

    Closed

!
!
!

Please do not submit any Protected Health Information (PHI).