Preparing For Your Visit
Prior to their first visit, clients may find it helpful to review and complete certain forms which can be downloaded below. Clients can clarify the thoughts that bring them to therapy and make best use of the initial session by taking care of paperwork beforehand.

Downloadable Forms:

Authorization for Release of Information
This authorization must be completed if and when you would like me to speak to other professionals regarding your clinical needs.

Client Information Form
This form provides information about yourself, your clinical history, and the areas of interest or concern that bring you to therapy.

Credit Card Authorization Form
This form authorizes charges to be made to your credit card, health savings account, or flexible spending plan should you choose to make payment in that form.

Informed Consent Agreement for Psychotherapy (Dr. Underhill Miller)
The Informed Consent Agreement describes the terms under which therapy takes place and must be signed prior to the start of the first session.

Completed forms either can be brought to one’s appointment or signed and faxed to (310) 317-0902.
Office Locations
21225 Pacific Coast Hwy, Suite A
Malibu, CA 90265
(310) 576-0883

Santa Monica
2730 Wilshire Blvd., Suite 350
Santa Monica, CA 90403
(310) 576-0883