Forms
If you're a new client, please complete the following forms and bring them to your first therapy session.
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:
Note: To download Adobe Acrobat Reader for free, Click here.
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Please do not submit any Protected Health Information (PHI).
Hours of Operation
Monday
8:00 am - 5:00 am
Tuesday
8:00 am - 5:00 am
Wednesday
8:00 am - 5:00 am
Thuirsday
8:00 am - 5:00 am
Friday
8:00 am - 5:00 am
Weekend
Closed
Hours of Operation
Monday
8:00 am - 5:00 am
Tuesday
8:00 am - 5:00 am
Wednesday
8:00 am - 5:00 am
Thursday
8:00 am - 5:00 am
Friday
8:00 am - 5:00 am
Weekend
Closed
Greenberg & Associates Dermatology
750 Las Gallinas Avenue
San Rafael, CA 94903
(415) 472-3903
San Rafael, CA 94903
(415) 472-3903