Yisraela (Hayman) Ketterman, LMFT | Life Coach
Phone: 310-388-7779
  • Home
  • Services Provided
    • Individual Therapy
    • Couples Therapy
    • Sex Therapy
    • Trauma Treatment
    • LGBTQ Affirmative Therapy
    • Relationship & Life Coaching
    • Online Therapy
    • EMDR Case Consultation
  • About Me
  • Rates & Insurance
    • Benefits of Therapy
    • Additional Resources
    • Privacy & Policy
  • Helpful Forms
  • Contact me

If you're a new therapy client, please complete the following forms and bring them to your first therapy session.

  • Client Intake Form
  • Consent for Treatment and Office Policies
  • Insurance Verification Form
  • Electronic Payment Form
  • EMDR Consent Form

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

  • Release of Information
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