San Diego Individual Therapy | Robyn Coughlin, LCSW

top of page

San Diego Individual Therapy

Cognitive Behavioral Therapy for Emotional Wellness, Social Skills, and Personal Growth.

ROBYN COUGHLIN, LCSW

LCS#24137

Phone: 619-997-5310

Please read & complete appropriate forms prior to first appointment.

INTAKE FORMS

New Client Form

Child Information Form

Teen Information Form

Adult Information Form

CONSENT FORMS

Consent for Treatment

Consent to Treat a Minor

Notice of Privacy Practice

Receipt of Privacy Practice

Accounting of Disclosures

HIPAA Authorization Form

Release of Information

bottom of page