(415) 633-6763 | lori@lorikandelsmft.com

Lori Kandels

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Client Forms

If you are new to therapy with me, please be sure to fill out the following forms and bring them to your first session. This will help ease you into therapy and allow as much time as possible to focus on you.

Client Information

Consent Form

Authorization for Release of Information

Limits of Confidentiality

Consent for Online Services

Lori Kandels, MFT, MBA

(415) 633-6763
lori@lorikandelsmft.com
5028 Geary Blvd.
San Francisco, CA 94118

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By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.
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Office Hours

Monday, Tuesday, Thursday and Friday.
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Find My Office

My office is on Geary, near Park Presidio. Easy, free parking is available on 14th Avenue.

Contact

5028 Geary Blvd.
San Francisco, CA 94118

(415) 633-6763
lori@lorikandelsmft.com

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