ANDREA BERNARD, PH.D.
Licensed Psychologist

 

 


2011 Palomar Airport Road
Suite 205
Carlsbad, CA 92011
760.815.8682 Phone

 



 

“Sometimes your joy is the source of your smile,
but sometimes your smile can be the source of your joy.”
--Thich Nhat Hanh



Forms

ALL CLIENTS please print and complete, and/or sign the following forms FROM ALL FOUR LINKS BELOW, and bring them with you:

If the client is a MINOR, in addition to the first 4 forms, please also complete, print, and bring in the following questionnaire:

If you are seeking COUPLES THERAPY, in addition to the first 4 forms, please also complete and bring in this questionnaire:

* Each partner should complete his/her questionnaire in private