Client Forms
The following forms can be downloaded and completed prior to your first appointment. You will need Adobe Reader to access these forms. If you do not have it installed on your computer, please click here. If you would prefer, I can also email/mail you the appropriate forms.
Child Packet Individual Forms (Under 18 Years Old)
If you are bringing your child/adolescent for treatment, you will need to review and complete ALL of the following forms prior to beginning treatment.
If you are bringing your child/adolescent for treatment, you will need to review and complete ALL of the following forms prior to beginning treatment.

Child Information Form | |
File Size: | 77 kb |
File Type: |

Child Consent Form | |
File Size: | 104 kb |
File Type: |

Notice of Privacy Practices | |
File Size: | 82 kb |
File Type: |

Receipt of Privacy Practices | |
File Size: | 52 kb |
File Type: |

Email Authorization Form | |
File Size: | 72 kb |
File Type: |
Adult Packet Individual Forms
If you are an adult coming for treatment, you will need to review and complete ALL of the following forms prior to beginning treatment.
If you are an adult coming for treatment, you will need to review and complete ALL of the following forms prior to beginning treatment.

Adult Information Form | |
File Size: | 43 kb |
File Type: |

Adult Consent Form | |
File Size: | 97 kb |
File Type: |

Notice of Privacy Practices | |
File Size: | 82 kb |
File Type: |

Receipt of Privacy Practices | |
File Size: | 52 kb |
File Type: |

Email Authorization Form | |
File Size: | 72 kb |
File Type: |

Laura C. Kauffman, Ph.D.
Licensed Psychologist PSY23071
650) 763-8583
drlaurakauffman at gmail.com
1220 University Dr., Suite 101
Menlo Park, CA 94025
Follow me on Twitter @ChildPsych
Licensed Psychologist PSY23071
650) 763-8583
drlaurakauffman at gmail.com
1220 University Dr., Suite 101
Menlo Park, CA 94025
Follow me on Twitter @ChildPsych
Content Copyright © 2009-2010. Laura C. Kauffman Ph.D. All rights reserved.