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Click here to schedule a session | Phone: 415-496-6792 | 1191 Solano ave #6573 Albany, California 94706 | 7901 4th St N, STE 300, St. Petersburg , FL 33702
Jessica Lang
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Forms

Important forms to get us started.
Contact me any time if you have questions or concerns.

Welcome Letter for CA Residents

Informed Consent for CA residents  

Expectations as We Work Together

Superbill Example for Insurance 

Welcome Letter for Israeli Residents and other Expats 

Informed Consent for Israeli residents and other Expats

Expectations as We Work Together

JTC Intake Form

Adult Assessment

Child Assessment
Sensory Checklist
Child Attachment DX Checklist

Ready to get started, schedule your first session

https://jessicalangtherapy.com/contact-me-to-start-healing/

415-496-6792

1191 Solano ave #6573

Albany, California 94706

Licensed to provide Telehealth in Florida

Teletherapy Florida: https://floridasmentalhealthprofessions.gov

7901 4th St N, STE 300

St. Petersburg , FL  33702

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