{"id":211,"date":"2018-02-01T15:11:21","date_gmt":"2018-02-01T15:11:21","guid":{"rendered":"https:\/\/svmarriagecoun.wpengine.com\/?page_id=211"},"modified":"2025-05-14T20:52:50","modified_gmt":"2025-05-15T03:52:50","slug":"forms","status":"publish","type":"page","link":"https:\/\/cms-staginglink3.com\/aziza-client-site\/silicon-valley\/forms\/","title":{"rendered":"Forms"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"211\" class=\"elementor elementor-211\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0d4ff6b e-flex e-con-boxed e-con e-parent\" data-id=\"0d4ff6b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fde9260 elementor-widget elementor-widget-spacer\" data-id=\"fde9260\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-32d4f1e elementor-widget elementor-widget-text-editor\" data-id=\"32d4f1e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h1><span style=\"color: #ffffff;\">Forms<\/span><\/h1>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a214850 elementor-widget elementor-widget-spacer\" data-id=\"a214850\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6e9fa752 e-flex e-con-boxed e-con e-parent\" data-id=\"6e9fa752\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9b35cb1 elementor-widget elementor-widget-spacer\" data-id=\"9b35cb1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-35a7cc5d elementor-widget elementor-widget-text-editor\" data-id=\"35a7cc5d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2>Welcome<\/h2><p>This page includes our client information forms, which help us understand your needs, goals, and personal circumstances. These forms also outline how your information is handled, ensuring transparency and mutual trust as we begin working together.<\/p><h3>For New Clients:<\/h3><p>If you are a new client, whether individual or couple, we need the following forms from each of you prior to your first session:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8dbe853 e-con-full e-flex e-con e-child\" data-id=\"8dbe853\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-14b07f4 elementor-widget elementor-widget-button\" data-id=\"14b07f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/cms-staginglink3.com\/aziza-client-site\/silicon-valley\/informed-consent-form\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Informed Consent<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1807995 elementor-widget elementor-widget-button\" data-id=\"1807995\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/cms-staginglink3.com\/aziza-client-site\/silicon-valley\/silicon-valley-intake-form\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Client Intake Form<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0cee94f elementor-widget elementor-widget-button\" data-id=\"0cee94f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/cms-staginglink3.com\/aziza-client-site\/silicon-valley\/notice-of-privacy-practices\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Notice of Privacy Practices<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d947c8e elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"d947c8e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-24196a3 elementor-widget elementor-widget-text-editor\" data-id=\"24196a3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h3>Authorization to Disclose Information<\/h3><p>If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete the form below:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-df1a09c e-con-full e-flex e-con e-child\" data-id=\"df1a09c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-40cd3f5 elementor-widget elementor-widget-button\" data-id=\"40cd3f5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/cms-staginglink3.com\/aziza-client-site\/silicon-valley\/limits-of-confidentiality-cancellation-policy\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Authorization to Disclose Information Form<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3e3296a elementor-widget elementor-widget-spacer\" data-id=\"3e3296a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Forms Welcome This page includes our client information forms, which help us understand your needs, goals, and personal circumstances. These forms also outline how your information is handled, ensuring transparency and mutual trust as we begin working together. For New Clients: If you are a new client, whether individual or couple, we need the following [&hellip;]<\/p>\n","protected":false},"author":34,"featured_media":0,"parent":12523,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-211","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Forms - Silicon Valley Marriage Counseling Center<\/title>\n<meta name=\"description\" content=\"New clients will need to download and complete the forms on our website; please see the notes regarding returning them in.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cms-staginglink3.com\/aziza-client-site\/silicon-valley\/forms\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Forms - Silicon Valley Marriage Counseling Center\" \/>\n<meta property=\"og:description\" content=\"New clients will need to download and complete the forms on our website; 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