MIDTOWN art THERAPY

Sacramento

Forms & Documents

Before you come to your first session there are some forms we would like for you to bring.  We would love for our first session for you to be able to talk about your issues, instead of using that time filling out papers.  So, please come with the following forms filled out:

This is so we can get a better understanding of you and your history

For clients of Majica Phillips only

For clients of  Leslie Claridge Town, & MIcaela Van Dine

If you are using your insurance, please have this form filled out. We will take a copy of your insurance card. 

ONLY If you need us to be able to talk to your doctor, teacher, etc.

Please review and sign the last page.