Dr. Lisa Harris, Ph.D.

(LIC. #PSY14248)

5927 Kanan Rd, Agoura Hills, CA 91301

818/687-4928

lisa@drlisaharris.com

 


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Client Forms

Please print and complete all four documents linked at bottom of this page. Bring all forms to your Initial Consultation or scan and email to lisa@drlisaharris.com

 

All Forms are stored in Google Docs. Selecting the Link below will bring up the document

 

*** To properly print, you must press the Google Docs Print Icon as shown below.

 

 

 

 

     Intake Form (PDF)

     Office Policies Form (PDF)

     HICFA Insurance Form (Complete top half of form, up to signature line)

     Notice of HIPAA Compliance