{"id":59,"date":"2021-12-11T11:17:20","date_gmt":"2021-12-11T11:17:20","guid":{"rendered":"http:\/\/itglobal.website\/brian\/?page_id=59"},"modified":"2024-04-17T05:28:07","modified_gmt":"2024-04-17T05:28:07","slug":"forms","status":"publish","type":"page","link":"https:\/\/brianwinklerphd.com\/index.php\/forms\/","title":{"rendered":"Forms"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"59\" class=\"elementor elementor-59\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-849e5a6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"849e5a6\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;slideshow&quot;,&quot;background_slideshow_gallery&quot;:[],&quot;background_slideshow_loop&quot;:&quot;yes&quot;,&quot;background_slideshow_slide_duration&quot;:5000,&quot;background_slideshow_slide_transition&quot;:&quot;fade&quot;,&quot;background_slideshow_transition_duration&quot;:500}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-wider\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-32c80ac\" data-id=\"32c80ac\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-151c374 elementor-widget elementor-widget-image\" data-id=\"151c374\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"389\" height=\"118\" src=\"https:\/\/brianwinklerphd.com\/wp-content\/uploads\/2021\/12\/logo.png\" class=\"attachment-large size-large wp-image-16\" alt=\"\" srcset=\"https:\/\/brianwinklerphd.com\/wp-content\/uploads\/2021\/12\/logo.png 389w, https:\/\/brianwinklerphd.com\/wp-content\/uploads\/2021\/12\/logo-300x91.png 300w\" sizes=\"(max-width: 389px) 100vw, 389px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-f6c9d9f\" data-id=\"f6c9d9f\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-481d3bf zoomout elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"481d3bf\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-1263984\" data-id=\"1263984\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e125a37 elementor-widget elementor-widget-nav-menu\" data-id=\"e125a37\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"nav-menu.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3649018 elementor-widget elementor-widget-text-editor\" data-id=\"3649018\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div><div><div><div><strong>Brian Winkler, Ph.D. Licensed Psychologist<\/strong><\/div><div><p><strong>\u00a0Lic. #PSY16843\u00a0<\/strong><\/p><p><strong>16615 Lark Ave.<\/strong><br \/><strong>Suite 203<\/strong><br \/><strong>Los Gatos CA 95032<\/strong><\/p><\/div><\/div><div>\u00a0<\/div><\/div><p><strong>(650) 306-8188<\/strong><\/p><p><strong>\u00a0<a class=\"ApplyClass\" href=\"mailto:brianwinklerphd@gmail.com\">\u00a0\u00a0<\/a><a class=\"ApplyClass\" href=\"mailto:brianwinklerphd@gmail.com\">email: click here<\/a><a class=\"ApplyClass\" href=\"mailto:brianwinklerphd@gmail.com\">\u00a0<\/a><\/strong><\/p><\/div><p>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-ef38d67\" data-id=\"ef38d67\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1b8d3a7 elementor-widget elementor-widget-image\" data-id=\"1b8d3a7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"705\" height=\"280\" src=\"https:\/\/brianwinklerphd.com\/wp-content\/uploads\/2021\/12\/river_bamboo_nowords-bigger-newest.png\" class=\"attachment-large size-large wp-image-15\" alt=\"\" srcset=\"https:\/\/brianwinklerphd.com\/wp-content\/uploads\/2021\/12\/river_bamboo_nowords-bigger-newest.png 705w, https:\/\/brianwinklerphd.com\/wp-content\/uploads\/2021\/12\/river_bamboo_nowords-bigger-newest-300x119.png 300w, https:\/\/brianwinklerphd.com\/wp-content\/uploads\/2021\/12\/river_bamboo_nowords-bigger-newest-480x191.png 480w\" sizes=\"(max-width: 705px) 100vw, 705px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3c50e3c elementor-widget elementor-widget-heading\" data-id=\"3c50e3c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Forms<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-42f39ad elementor-widget elementor-widget-text-editor\" data-id=\"42f39ad\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>If you&#8217;re a new client, please complete the following forms and bring them to your first therapy session.<\/p><ul><li><a href=\"http:\/\/brianwinklerphd.com\/Portals\/winkler-brian\/NewClientIntakeForm.pdf\">Client Therapy Intake Form<\/a><\/li><li><a href=\"http:\/\/brianwinklerphd.com\/Portals\/winkler-brian\/Office%20policy%20.pdf\">Office Policies<\/a><\/li><\/ul><p>For children and teens, please fill out the following parental consent form and bring it to your child&#8217;s first session.\u00a0\u00a0\u00a0 \u00a0<\/p><ul><li><a href=\"http:\/\/brianwinklerphd.com\/Portals\/winkler-brian\/Parental%20permission.pdf\">Parental Consent Form<\/a><\/li><\/ul><p>Additional Forms<\/p><p>\u00a0 \u00a0<a href=\"http:\/\/brianwinklerphd.com\/Portals\/winkler-brian\/Couples%20Questionnaire.pdf\">Couples Questionnaire<\/a><\/p><p>Note: To download Adobe Acrobat Reader for free,\u00a0<a href=\"http:\/\/get.adobe.com\/reader\/\">click here.<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1de9d43 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1de9d43\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-14a2a44\" data-id=\"14a2a44\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-99918f2 elementor-widget elementor-widget-spacer\" data-id=\"99918f2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-bcd4ae6\" data-id=\"bcd4ae6\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f9402db elementor-widget elementor-widget-heading\" data-id=\"f9402db\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Forms<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-159b32a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"159b32a\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-9a579ee\" data-id=\"9a579ee\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-12315f3 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"12315f3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-3b2a956 elementor-widget elementor-widget-heading\" data-id=\"3b2a956\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Copyright (c) 2021 Brian Winkler<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Brian Winkler, Ph.D. Licensed Psychologist \u00a0Lic. #PSY16843\u00a0 16615 Lark Ave.Suite 203Los Gatos CA 95032 \u00a0 (650) 306-8188 \u00a0\u00a0\u00a0email: click here\u00a0 \u00a0 Forms If you&#8217;re a new client, please complete the following forms and bring them to your first therapy session. Client Therapy Intake Form Office Policies For children and teens, please fill out the following [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_canvas","meta":{"footnotes":""},"class_list":["post-59","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Forms - Brian Winkler, PhD<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/brianwinklerphd.com\/index.php\/forms\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Forms - Brian Winkler, PhD\" \/>\n<meta property=\"og:description\" content=\"Brian Winkler, Ph.D. Licensed Psychologist \u00a0Lic. #PSY16843\u00a0 16615 Lark Ave.Suite 203Los Gatos CA 95032 \u00a0 (650) 306-8188 \u00a0\u00a0\u00a0email: click here\u00a0 \u00a0 Forms If you&#8217;re a new client, please complete the following forms and bring them to your first therapy session. 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