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Forms & Resources

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Intake forms

Please download the required forms and bring a filled copy with you to your appointment. Kindly contact us if you have any questions regarding the completion of the forms.

Child Client

Child and Family Information
Client Therapist Agreement Consent-n-Assignment for Insurance Benefits
Telehealth Treatment Consent

Couple's Intake

Beck Anxiety Inventory
Burnout Assessment
Client Therapist Agreement Consent in Assignment for Insurance Benefits
Couples Information Form
Self-Esteem Inventory
Short Background Form
Suicide Assessment
Self-Esteem Inventory

Family and/or Child Above 12

Beck Anxiety Inventory
Beck Depression Inventory
Child and Family Information
Client Therapist Agreement Consent n Assignment for Insurance Benefits
Self-Esteem Inventory
Suicide Assessment Revised
Telehealth Treatment Consent

Individual Intake

Background Information Revised
Beck Anxiety Inventory
Beck Depression Inventory
Burnout Assessment
Client Therapist Agreement Consent n Assignment for Insurance Benefits
Self-Esteem Inventory
Suicide Assessment Revised
Telehealth Treatment Consent

Links and Resources

CPS Contact Information
Psychiatrist
CA QH
California State University
Alliant University
Fresno City College
Board of Behavioral Science
Board of Psychology
Adult Protective Service
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ADDRESS

5150 N Sixth Str., Ste 132
Fresno, CA 93710

CONTACT

phone:
(559) 307-9505
Fax:
(855) 615-2850
Email:
info@fresnopsychservices.com

©2023 Fresno Mental Health Services

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©2022 Fresno Mental Health Services

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