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Dorothy Kruse
Therapy for Individuals, Couples, Adolescents & Families
Flower
Dorothy Kruse
925-465-3899
140 Mayhew Way, Ste 702
Pleasant Hill, CA, CA 94523
USA
dorkruse@gmail.com
Helpful Forms

If you're a new client, it is helpful (not required) if you complete the following forms and bring them to your first therapy session.  (Please note that my cancellation policy is 48 hours in advance, not the 24 hours that is stated on these forms.)

  • Client Psychotherapy Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy

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:

  • Authorization to Disclose Information Form

Client Psychotherapy Intake Form  
Limits of Confidentiality/Therapy Cancellation Policy  
Authorization to Disclose Information Form  

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