"Everything can be taken from a man or a woman but one thing: the last of human freedoms to choose one's attitude in any given set of circumstances, to choose one's own way." - Viktor E. Frankl
Forms
Rebecca Wurzburger, Psyd
9107 Wilshire Blvd, Suite 475
Beverly Hills, CA 90210
T 310.929.0362
F 310.499.5295
rebecca@drwurzburger.com
9107 Wilshire Blvd, Suite 475
Beverly Hills, CA 90210
T 310.929.0362
F 310.499.5295
rebecca@drwurzburger.com
You can save time during your first office visit by printing, filling out and signing the following required forms:
The Consent for Treatment Form
Client Confidential Information Form (Individuals and Couples)
Client Confidential Information Form (Adolescents)
HIPPA
The following forms are to be completed and signed only as needed:
Consent to Release Information
Authorization to Pay by Credit Card