• Contact Now Schedule an Appointment

    30250 Rancho Viejo Road, Suite G | San Juan Capistrano, CA
    P.O. Box 302 | San Juan Capistrano, CA drchar@underhillmiller.com | (310) 576-0883

  • Charlene Miller

    My WordPress Blog

    • Home
    • About
    • Services
      • Counseling for Trauma
      • Counseling for New Mothers
      • Family Counseling
      • Couples Counseling
      • Speaking / Consulting
    • Getting Started
      • FAQs
      • Client Forms
      • Appointment Request
    • Links
      • Recent News
      • Mental Health Links
      • Physical Health Links
    • Contact
    • Blog

    Client Forms

    If you are new to the working with me, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you.

    Client Intake Form

    Information Sheet

    Credit Card Authorization Form

    Informed Consent Agreement for Psychotherapy (Dr. Underhill Miller)

    Limits of Confidentiality

    If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

    Authorization for Release of Information

    Contact Today



    30250 Rancho Viejo Road, Suite G
    San Juan Capistrano, CA 92675

    P.O. Box 302
    San Juan Capistrano, CA

    (310) 576-0883 drchar@underhillmiller.com

    Contact Today

    Charlene Underhill Miller, PhD
    Licensed Marital and Family Therapist

    drchar@underhillmiller.com | (310) 576-0883

    A Website by Brighter Vision | Privacy Policy

    Copyright © 2025 - Brighter Vision