Welcome to Brain Health Counseling and Neurofeedback! We are excited to meet you and walk side by side with you on your healing journey.
Please fill out the paperwork below and bring it to your first appointment. Thank you!
Choose the consent form based on who the appointment is for. If you are making a couples or family appointment, each person will need to fill out an their own individual intake form and sign the couples/families consent form. Only one credit/debit card needs to be kept on file.
Please call the office: 916-862-5207 for any questions you may have about this process.
This form provides us with all the necessary information for you to get started as a patient. Included is the HIPPAA privacy policy notice which explains how your electronic information may be used.
Office Hours
Monday-Friday
9am -5pm
Please leave a voicemail if you are unable to reach us and we will get