Alison Freeman, Ph.D.
Ca Lic#: PSY 10597
(310) 712-1200
  • Child intake form or Adult intake form
  • Consent for treatment form
  • Limits of Confidentiality/Cancellation Policy Form
  • Release of information form
  • Policies 
  • Consent to Release Information Form

                    Authorization to Release Information

                    Adult Intake Form

                    Adult Intake Form-Deaf

                    Child Intake Form-Deaf


                    Consent for Treatment of Minors

                    Intake Policies and Consent 

                    Social Media Policies

                    Three Questions