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© 2013-2019 by Jesse Whittle-Utter

 www.eastbaytherapy.org

1919 Addison St. Ste. 301 Berkeley, CA 94704

jes.rwu@gmail.com  |  Phone: 510-740-8024 | Fax: 651-855-5287

 

 

Please do not fill out this form until you have an appointment scheduled. Prior to beginning our work together, it is helpful for me review basic background information about you. We can either go over this information when we meet, or you can submit it using the secure form below. Note: very infrequently, technical errors  occur with the form submission which I cannot control; If you find that you are writing extensively, I advise copying/saving your work in an external document in case something goes wrong. If you prefer, you may also download the manually fill out the form here.  I also encourage you to review my office policies and feel free to ask me any questions you may have.

Scenic Image - Oakland Therapist, Mill Valley Therapist, EMDR Therapist, Forms
Scenic Image - Oakland Therapist, EMDR Therapist, Forms
Scenic Image - Oakland Therapist, EMDR Therapist, Forms
Scenic Image - Oakland Therapist, EMDR Therapist, Forms