top of page


Chari Goldstein, M.S. LMFT
Chari Goldstein, M.S. LMFT
Licensed Marriage and Family Therapist
CLIENT FORMS & INFORMATION
Please print out and complete the appropriate forms prior to your first appointment.
Office Polices and Signature Consent Form

Officepolices1.2018.docx
(DOCX — 18 KB)
Individual Intake Form

Individual Intake Form9.15.docx
(DOCX — 18 KB)
Couples Intake Form

Couples Intake Form.9.15docx.docx
(DOCX — 17 KB)
Notice of Privacy Form ( please print and keep for your records)

NoticePrivacyPractices.txt
(TXT — 13 KB)
bottom of page