Brentwood Marriage and Family Therapy|Individuals|Couples - Helpful Forms - Brentwood, CA
FRANCI SMITH MS, LMFT, LPCC - Brentwood Marriage and Family Therapy
Forms
 
If you're a new client, please complete the following forms and bring them to your first therapy session:
 
For All Clients:
 
 
 
For adults:
 
 
 
  • For children/adolescents:
 
 
 
 
Hippa Forms:
 
 
 
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete the form below to authorize release of psychotherapy information.
 
Release Form:
 


 
 

Note: To download Adobe Acrobat Reader for free, click here
 
 
Couples Therapy - Individuals Therapy- Family Therapy- Teen Therapy
 
Phone: (925) 588-3070                      E-Mail: [email protected]FranciSmithMFT.com
Office located in Brentwood, CA

Address:

1210 Central Blvd., Suite 107
Brentwood, CA 94513 


Proudly Serving: Brentwood, Antioch, Oakley, Discovery Bay and their surrounding communities.









Providing Marriage and Family Therapy, Counseling Services and Life Coaching to Individuals, Couples, Teens, and Families

 
Franci Smith provides therapy and counseling services for Individuals, Couples, Teens, Children and Families in the east bay of the SF bay area.  She specializes in anxiety, depression, couples counseling, marriage counseling, family counseling, teen issues and life transitions. Her offices are located in Brentwood.  The location offers easy freeway access and are close to public transportation. Surrounding cities include Brentwood, Discovery Bay, Oakley, Livermore, Antioch and Pittsburg. .For a sitemap click here.

Franci Smith, LMFT provides confidential, counseling and therapy services for teens, adults, couples, and families specializing in Teen Counseling, Anxiety Therapy,  Depression Therapy, Family Counseling, Relationship Therapy, Couples Counseling, Premarital Counseling, and Marriage Counseling.