logologologo
  • Home
  • About
  • Therapy Services
    • Individual Therapy
    • Couples Therapy
    • Ketamine Assisted Therapy
  • For Patients
    • Fees and Insurance
    • Patient Forms
    • Resources
  • Contact

Request Appointment

  • Home
  • About
  • Therapy Services
    • Individual Therapy
    • Couples Therapy
    • Ketamine Assisted Therapy
  • For Patients
    • Fees and Insurance
    • Patient Forms
    • Resources
  • Contact
logologologo
  • Home
  • About
  • Therapy Services
    • Individual Therapy
    • Couples Therapy
    • Ketamine Assisted Therapy
  • For Patients
    • Fees and Insurance
    • Patient Forms
    • Resources
  • Contact

Request Appointment

  • Home
  • About
  • Therapy Services
    • Individual Therapy
    • Couples Therapy
    • Ketamine Assisted Therapy
  • For Patients
    • Fees and Insurance
    • Patient Forms
    • Resources
  • Contact
medical-form

Patient Forms

Patient Consent Form – Click here to download
HIPAA Privacy Policy – Click here to download
HIPAA Acknowledgement Form – Click here to download
Insurance Authorization Form – Click here to download
Patient Intake Form – Click here to download

Individual Therapy

Time dedicated to improving the individual’s life in a warm, non-judgmental environment.

Couples Therapy

Love and relationships are the foundation of human existence and require work to maintain.

Substance Abuse

If you have ever asked yourself if you are addicted, therapy can help you recover.

Family Therapy

Change patterns of behavior that are causing and maintaining issues in your family.

Contact Our Therapist

    If you would like to speak with someone directly

    Give Us a Call

    323.206.6874


    Email: therapytoheal@gmail.com

    © 2025 Dr. Noushin Z. Verdi. All rights reserved.