There are a number of documents that I may ask you to fill out over the course of therapy. I have included several of the most common documents on this webpage for your convenience. Please be prepared to provide this information along with your current medical insurance information, if applicable.

Please print, read, and sign (if applicable) these documents prior to attending your first session. This helps ensure that you don't have to spend valuable session time filling out paperwork.
















If you have any questions when filling out these forms, please do the best you can and Dr. Tate will assist you with your questions on the day of your visit.
click to save the form directly to your PC

click to save the form directly to your PC

click to save the form directly to your PC
© 2011 DrLenoreTate.com. All Rights Reserved.
Dr. Lenore A. Tate
2377 Gold Meadow Way, Suite 100
Gold River, CA 95670
info@drlenoretate.com
(916) 428-0400 Office
(916) 922-8085 Fax

Office Hours:
Monday - Saturday
9:00am - 5:00pm