Deprecated: Function WP_Dependencies->add_data() was called with an argument that is deprecated since version 6.9.0! IE conditional comments are ignored by all supported browsers. in /home3/mikejuan/public_html/wp-includes/functions.php on line 6131

Deprecated: Function WP_Dependencies->add_data() was called with an argument that is deprecated since version 6.9.0! IE conditional comments are ignored by all supported browsers. in /home3/mikejuan/public_html/wp-includes/functions.php on line 6131
Skip to content

Michael A. Juan, Ph.D.

Clinical Psychologist PSY25664

  • Home
  • Services
  • About Me
  • FAQ
  • Resources
  • Forms
  • Posts
  • Fil-Am
  • Contact

Forms

Intake Forms:

The following forms may be printed out ahead of time and submitted at your first scheduled visit.

  • MJPHD Notice of Privacy Practices
  • MJPHD Intake Questionnaire
  • MJPHD Client Registration FormĀ 
  • MJPHD Telehealth Consent

Therapy Forms:

These forms may be helpful and referenced in our therapeutic work together.

  • MJPHD Model for Behaviors, Emotions, Sensations, and Thoughts
  • Cognitive Distortions (Therapist Aid, 2012)

Gallery

Credit/Debit Card or Paypal Payment

Payments
Other Amount:
Proudly powered by WordPress