Psychologically Speaking with Dr. Jack Singer, LLC
New Patient Information Sheets Adults
- Adults [PDF]
- Informed Consent for Telephone/Skype Therapy [PDF]
New Patients Information Sheets Minors
- Minors [PDF]
- Informed Consent for Telephone Therapy [PDF]
Instructions:
- Print form (2 pages)
- Fill in information
- Bring to first appointment with Dr. Jack singer OR
- Fax to 949-481-5057 if your appointment is a phone consultation
Dr. Jack, Once again, thank you for helping me not only see my dreams but make them come true. I had a level of confidence I did not believe was possible and what you taught me was a true gift. Thank You for working with me and helping me to achieve my true potential and I will definitely be seeing you in the future!
Julia “The Jewel” Budd, Gibson Kickboxing & Pankration
Driving directions and map
Contact Dr. Jack Singer
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