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Randi Valerie Specterman, Ph.D.
Mindfulness-Based Therapy for Individuals, Couples and Families
Flower
Randy Valerie Specterman, Ph.D.
Licensed Psychologist-23745
607-761-2285
www.DrSpecterman.com

220 S.California Avenue
Suite 204

Palo Alto CA 94306

1818 Walnut Street #9

Berkeley CA 94709

Now serving the Greater Bay Area:
Berkeley
Palo Alto
San Francisco
Marin
Oakland
Albany
Richmond
Menlo Park
Mountain View
[email protected]

Helpful Forms | Palo Alto | Berkeley, CA

If you're a new client, please complete the following forms and bring them to your first therapy session.

  • Client Psychotherapy Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

  • Authorization to Disclose Information Form

Client Psychotherapy Intake Form  
Limits of Confidentiality/Therapy Cancellation Policy  
Authorization to Disclose Information Form  

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