DEBORAH M GONZALES LCSW
Therapy & Hypnotherapy for Individuals, Couples, & Families
DEBORAH M GONZALES, LCSW ACSW ChT
AS OF 1/2/2012
16600 Centerfield Dr. Suite 203
(Upstairs in The Wells Fargo Bldg)
PO BOX 772244
Eagle River, AK 99577-2244
907-694-7031
907-694-7033 ( FAX )

Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

  • Client Psychotherapy Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

  • Authorization to Disclose Information Form

Client Psychotherapy Intake Form  
Limits of Confidentiality/Therapy Cancellation Policy  
Authorization to Disclose Information Form  

Note: To download Adobe Acrobat Reader for free, click here.