(858) 633-6463 | info@drkatieerreca.com

Katie Erreca

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Client Forms

If you’re a new client, please complete the following forms and bring them to your first therapy session.

Adult

Adult Intake FormĀ 
Informed Consent for Treatment
Notice of Privacy Practices

Child or Adolescent

Minor Intake Form
Adolescent Privacy Policy
Informed Consent
Consent for Treatment of Minors
Notice of Privacy Practices

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:

Release of Information
Telemedicine Consent Form

Contact Me Today

Katie Erreca, Psy.D.



(858) 633-6463
info@drkatieerreca.com

9404 Genesee Ave Suite 245
La Jolla, CA 92037

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Office Hours

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Contact Information

9404 Genesee Ave Suite 245
La Jolla, CA 92037

(858) 633-6463
info@drkatieerreca.com

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