RELEVANT FORMS
Download and Fill Out in Advance
Once you’ve scheduled an appointment with Dr. Strachowski, please fill out the New Patient Form, The Office Policy, and Consent and the Release of Information as needed. The HIPPA description is for your records and the thought record is for you to copy as needed.
- New Patient Form (Please fill out)
- Office Policy and Consent (Please read and sign)
- Release of Information (If needed for another provider)
- HIPPA Description (For your records)
- Dysfunctional Thought Record (Copies available for you)
1220 University Dr. #202 | Menlo Park, Ca 94025 | Phone: (650) 330-1100 | Email: doctordiane@sbcglobal.net
1220 University Dr. #202 | Menlo Park, Ca 94025
Phone: (650) 330-1100 | Email: doctordiane@sbcglobal.net