Client Forms

If you are new, 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

Client Release for Video Session

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



To schedule an therapy appointment or to obtain additional information about any of my counseling services, please give me a call or fill out the form on this page.

5440 Morehouse Drive, Suite 3800
San Diego, CA 92121

dr.bgaetano@sbcglobal.net
(760) 207-2515

For more information on Telehealth-Video Sessions.

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We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form. This form is for general questions or messages to the practitioner.