My cultural background is an exciting mix. I grew up hearing many European languages in our home and eating ethnic food. My father was reared in the tiny village of Lucenz, Hungary. My mother grew up in the Adirondack Mountains of upstate New York….
Please print and fill out one of these forms and the Consent to Treatment form. If I will work with you as a couple, each person needs to fill out one’s own set of forms. Please mail, email or fax these forms to me….
Judy Moore, MFT 530-574-3657 140 B St.#256 Davis, CA 95616 MFC #46735 [contact_form]