Scott Van Sleeuwen, LMFT
2953 Honolulu Avenue, Suite 9
La Crescenta, CA 91214
818-568-9221
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: