Renée Haas, Licensed Therapist & Certified Coach Helping adults create happy, fulfilling lives

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Renée Haas, MFT, CPC

301 Science Dr., Suite 235
Moorpark, CA 93021

(805) 306-1595
info@reneehaas.com

As a licensed therapist, Renée specializes in couples counseling and therapy for individual adults struggling with relationship issues. As a certified professional coach, she specializes in helping adults at midlife generate and reach goals to improve their quality of life.

Intake Forms

If you have made an appointment with me, please complete the following forms and bring them to your first therapy session. If you are coming in for couples therapy, each partner needs to fill out a form.

  • Client Psychotherapy Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy

If you would like for me to coordinate care with another provider (for example, your psychiatrist or primary care physician), complete this form to authorize release of psychotherapy information.

  • Authorization to Disclose Information Form
Client Psychotherapy Intake Form  
Limits of Confidentiality/Therapy Cancellation Policy  
Authorization to Disclose Information Form  

Note: To download Adobe Acrobat Reader for free in order to open these forms on your computer, click here.

 

 

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