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    • Home
    • About Me
    • Services
    • Client Forms
    • Blogs and Articles
    • Contact
  • Home
  • About Me
  • Services
  • Client Forms
  • Blogs and Articles
  • Contact

Melody Jazeb, LCSW, BCD Psychotherapy and Counseling Services

Melody Jazeb, LCSW, BCD Psychotherapy and Counseling ServicesMelody Jazeb, LCSW, BCD Psychotherapy and Counseling ServicesMelody Jazeb, LCSW, BCD Psychotherapy and Counseling Services

Supporting Your Well-Being

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Client Contract

Download the client forms and questionnaires to return them below before your appointment. 

Notice of Privacy Practices (pdf)Download
INFORMED CONSENT FOR SERVICES (pdf)Download
Telemental Health Agreement (pdf)Download
Service Fees and General Information (pdf)Download
Credit Card Authorization Form (pdf)Download
Intake Form Updated 2021 (pdf)Download
Adult Symptom Checklist (pdf)Download
PHQ9_Fillable (pdf)Download
GAD-7_Anxiety-updated_0 (pdf)Download

Contact ME

Feel free to send me a message to inquire about current availability and to request a telephone consultation.

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Please allow for three to five days for a response either by phone or email.

Melody Jazeb, LCSW, BCD, Psychotherapist

Los Angeles, California, United States

(626) 873-1335 Melodyjazeb@gmail.com

Hours

Today

By Appointment

Copyright © 2024 Melody Jazeb, LCSW, BCD; Psychotherapist and Counselor - All Rights Reserved.

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