• Home
  • About Dr. Spiegel
    • Biography
    • Philosophy and Approach
      • For Adults
      • For Teens
  • Areas of Expertise
  • Forms & Procedures
    • Forms
    • Payment, Insurance and Cancellations
  • Contact Dr. Spiegel

Forms

   Please click on each link and print out the forms so that they may be read, signed where appropriate and brought to your initial evaluation session. You should have a total of nine pages.

  1. Welcome, Policies, Confidentiality and Policies Signature
  2. Notice of Privacy Practices Signature Page
  3. Client Information Sheet
  4. Your and Your Family’s Mental Health History
  5. Consent for Initial Evaluation

Sample Topics for Therapy

- women’s concerns (career, role identification, children, infertility)

- men’s issues (career, intimate communication, mid-life transitions)

- sadness

- stress/coping

- sexual orientation

- death/ grief/ bereavement

- child development/ parenting

- life transitions: pre-marriage counseling, pre-and post-partum adjustment, leaving home, parental role adjustment, retirement

- eating issues

- performance and mental preparation

About Dr. Spiegel

  • About Dr. Spiegel
  • Areas of Expertise
  • Contact Dr. Spiegel

Client Information

  • Forms
  • Payment, Insurance and Cancellations

Lise Spiegel, Ph.D. | 818-429-1448

Creative Website Design by Inspired Multimedia, Inc.

  • Home
  • About Dr. Spiegel
    • Biography
    • Philosophy and Approach
      • For Adults
      • For Teens
  • Areas of Expertise
  • Forms & Procedures
    • Forms
    • Payment, Insurance and Cancellations
  • Contact Dr. Spiegel