Forms can be filled out by hand or using a PDF reader program such as Adobe Acrobat Reader.

Consent for Psychological Services
The psychological services consent for treatment form must be completed and signed before starting any meeting with Dr. Hagino. Please bring it to the initial meeting.

Authorization to Release Information   
The release of information form allows Dr. Hagino to coordinate care with other individuals such as psychiatrists, physicians, and other therapists.

Completed and signed forms can be given to Dr. Hagino or emailed to