415-509-1307

sergio@sergiobaroni.com

Client Forms

If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session.

Client Intake Form

Information Sheet

Limits of Confidentiality

415-509-1307
sergio@sergiobaroni.com

*Skype sessions are available by appointment.

Marin County:
100 Tamal Plaza #195
Corte Madera, CA. 94925

San Francisco:
999 Sutter St.
San Francisco, CA. 94109

Send Me 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.