Eva Tak, MFT Changing Perspectives

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Eva Tak
Licensed Marriage & Family Therapist
916.605.6629
4993 Golden Foothill Parkway, Suite 6
El Dorado Hills, CA 95762
changingperspectives@me.com
Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

  • New Client Registration Form
  • Individual History Form, or if coming in for couples counseling
  • Coupes Intake Form
     

Please review the Notice of Privacy Policies, either online or you may print the policies file below.

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

  • Release of Information Form

New Client Registration Form Notice of Privacy Practices 
 Individual History Form  Release of Information Form
 Couples Intake Form  

Note: To download Adobe Acrobat Reader for free, click here.


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