Transform Wellness Therapy Services

Transform Wellness Therapy ServicesTransform Wellness Therapy ServicesTransform Wellness Therapy Services
  • Home
  • Meet the Therapist
  • Rates & Insurance
  • Treatment
  • Neurofeedback
    • About Neurofeedback
    • Neurofeedback Fees
  • CBIT
  • Privacy Policy
  • Forms
  • SELF-HELP TOOLS
    • PARENTING
    • ADHD
    • Trauma
  • Resources
  • More
    • Home
    • Meet the Therapist
    • Rates & Insurance
    • Treatment
    • Neurofeedback
      • About Neurofeedback
      • Neurofeedback Fees
    • CBIT
    • Privacy Policy
    • Forms
    • SELF-HELP TOOLS
      • PARENTING
      • ADHD
      • Trauma
    • Resources

Transform Wellness Therapy Services

Transform Wellness Therapy ServicesTransform Wellness Therapy ServicesTransform Wellness Therapy Services
  • Home
  • Meet the Therapist
  • Rates & Insurance
  • Treatment
  • Neurofeedback
    • About Neurofeedback
    • Neurofeedback Fees
  • CBIT
  • Privacy Policy
  • Forms
  • SELF-HELP TOOLS
    • PARENTING
    • ADHD
    • Trauma
  • Resources

Forms For Treatment

If you have decided that my services will work for you, WELCOME! I will be honored to accompany you on this life changing journey. 


Your first step to transformation can start here; scheduling your appointment and filling out the paperwork located below. or you can fill it out when you register on Therapy Appointment, a link to which is on the home page.  Whichever way you choose, Welcome! Let the healing begin!

Adult Intake (pdf)Download
Cancellation Policy (pdf)Download
Child Intake (pdf)Download
Consent to Release (pdf)Download
Disclosure Statments (pdf)Download
Informed Consent (pdf)Download
NO Secrets Agreement (pdf)Download
NPP (pdf)Download
Patient Rights (pdf)Download
Statement of Informed Consent to Treat a Minor (pdf)Download
Teletherapy Consent (pdf)Download

Transform Wellness Therapy Services

4949 Buckley Way STE 108, Bakersfield, California, 93309

(661)-375-7166

Copyright © 2020 Transform Wellness Therapy Center - All Rights Reserved.

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