Forms for Clients 

If you are a new client, please print, complete, and bring the intake packet that corresponds to your age group or therapy type with you to your initial appointment. 

Please complete the forms as thoroughly as possible. 
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Additional Forms and Information
This form authorizes the release of information to other involved medical providers, school personnel, and individuals in a client's life. Please complete and bring this form with you if you would like your therapist to coordinate care with any of the above listed professionals. 
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Privacy and Confidentiality Information

The law protects the relationship between a client and a psychotherapist, and information cannot be disclosed without written permission.
Exceptions include: 
  • Suspected child abuse or dependent adult or elder abuse. We are required by law to report this to the appropriate authorities immediately. 
  • If a client is threatening serious bodily harm to another person/s, we must notify the police and inform the intended victim. 
  • If a client intends to harm himself or herself, we will make every effort to enlist their cooperation in ensuring their safety. If they do not cooperate, we will take further measures without their permission that are provided to therapists by law in order to ensure their safety (this typically involves hospitalization or an assessment through mental health professionals working with the police).
The protection of your health information is very important. As mental health professionals, we recognize that many of the things we discuss are sensitive, and because of this it is important that you are aware of how this information is used and may be revealed.  The document below contains a description about how your protected health information is used and sometimes disclosed.  As healthcare professionals covered under the federal “HIPAA” law, we are required to give you this notice and to abide by its terms. We reserve the right to change the terms of this notice, and if that happens your therapist will provide you with an updated copy with the changes.  Please download Thrive's Notice of Privacy Practices for full disclosure.
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Notice to Clients 

As therapists, we are required to provide our clients information about where to complain about services provided at our office. The offices are specific to the provider's licensing board. Please contact us if you would like more information after reviewing the below documents. We are happy to review this information with you! 

Call Today!  858-342-1304

Thrive Therapy Studio
5230 Carroll Canyon Rd. Ste 110
​San Diego, CA 92121
"Watch your thoughts, 
They become words. 
Watch your words, 
They become actions. 
Watch your actions, 
They become habits. 
Watch your habits, 
They become character; 
It becomes your destiny."

Contact Us
Thrive Therapy Studio Therapists Offer Child, Teen, Adult, Marriage and Family Psychotherapy Counseling Services in San Diego, California.
Thrive's Notice of Privacy Practices