(213) 706-7849

greg@gregwrightpsychotherapy.com

Client Forms

If you are new, please feel free to fill out the Client Intake form below before our first session.

Once we have scheduled our appointment, you will be provided with a link into my HIPAA compliant client information portal for you to complete the necessary contact and payment information, Informed Consent Form, Limits of Confidentiality and any other information necessary for our work together.

Client Intake Form

Greg Wright, MA, LMFT 121571 | Licensed Psychotherapist



960 E. Green Street, Suite 280
Pasadena, CA 91106

greg@gregwrightpsychotherapy.com
(213) 706-7849

Got Questions?
Send a Message!

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.