Danae Powers, M.S., MFT
Services Things to know Forms Resources Blog

Links to commonly requested office forms and information:

If you do not see the form you are looking for, please contact my office.

Acknowledgement of Receipt of Notice of Privacy Practices

Authorization to Exchange Confidential Information

Caregiver's Authorization Affidavit

Informed Consent for Psychotherapy

Limitation on Confidentiality and No Secrets Policy for Couple and Family Therapy

New Client Questionnaire

Notice of Privacy Practices

Professional Therapy Never Includes Sex

Telemedicine Informed Consent

Danae Powers, M.S., MFC #52528
Licensed Marriage and Family Therapist

228 East Foothill Boulevard • Arcadia, California 91006-2508 • Phone: 626-385-7284 • info@danaepowers.com