Mindy McHugh and Ralph Butcher

We are asking all New Clients to complete a Confidential Extended History Form, and bring it to your appointment. This information will help us get to know you and, will expedite the process of "history gathering" during your sessions. The form is 5 pages in length. Also, click on the New Client Forms link and print yourself a copy. Read the forms and bring any questions you may have to your first session. If you are coming to therapy as a couple, each person needs to complete an Extended History Form.

Fill-out this form and bring it to your session.

Extended History Form.doc

90.3KB

Aug 25, 2012 9:25 AM

Print and read these forms.

New Client Forms.doc

178.5KB

Aug 20, 2011 10:46 PM

We are Certified Imago Relationship Therapists, specializing in Couples and Marriage Counseling. Our services include Imago Therapy for Individuals, Couples, Weekend Workshops, and Clinical Consultation and Clinical Training for Therapists. Imago Therapy is based on the best selling book, "Getting the Love You Want," by Harville Hendrix, Ph.D. Read how Imago Relationship Therapy stands apart from traditional models of Couples Counseling. Our San Ramon office is located in the East Bay, and we also serve clients from the Greater, San Francisco Bay Area.