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Afraid you'll forget something important? Having trouble remembering the doctor's
instructions? Use the forms below to prepare for your office
visits.
PHONE NUMBERS
For Appointments: 951.684.1944
Dr. Kotomori's appointments are
scheduled by the office manager at extension 100
All other clinicians schedule
their own appointments
- Jane Norris, M.F.T. ext 4
- Beverly Hanes, M.F.T. ext 3
- Deanne Edwards, M.F.T. ext 6
- Heather Schaefer, M.F.T. ext 5
- Melinda G. Ogg, Ph.D. ext 2
- Michael Tennies, Ph.D. ext 7
- Emma Girard, Psy. D. ext 8
BRING TO THE APPOINTMENT
Insurance Card, Co-Payment (due at
time of appointment), Referral Forms (if applicable), Previous
Health Records
WHAT YOU MAY BE ASKED
First Time Visit (Medical
History Questionnaire): Please print copies of the below
forms, fill them out and bring them to your first appointment.
All patients must complete a HIPPA and Office Policies and Patient
Rights Form to receive services.
Before Your Next Visit:
Please fill out the Mood Log. This log is especially helpful
you and your Psychiatrist and Clinician tract your response to
treatment and identify possible contributing factors.
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