(760) 419-1912 | Lbstan@att.net

Barbara Stanforth

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Client Forms

If you are a new client, please be sure to download and complete the following forms. Then, bring your completed forms with you to your first meeting/session. This will help ease you into therapy and allow as much time to be spent on you as possible.

Client Intake Form

Information Sheet

Limits of Confidentiality

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 for Release of Information

Leucadia Family Counseling

Barbara Stanforth, LMFT, CHT

(760) 419-1912
Lbstan@att.net

1509 Halia Court
Encinitas, California 92024
*Located upstairs though the building does not have an elevator.


Message Me Today

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

Leucadia Family Counseling

Barbara Stanforth, LMFT, CHT

(760) 419-1912
Lbstan@att.net

1509 Halia Court
Encinitas, California 92024
*Located upstairs though the building does not have an elevator.

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Get Started Now

If you have any questions or would like to schedule an appointment, please do not hesitate to contact me. I would love to work with you!

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  • Home
  • About Barbara
  • Services
  • Getting Started
    • FAQ’s
    • Client Forms
    • Rates & Insurance
    • Appointment Request
  • Resources
    • Mental Health Links
    • Physical Health Links
  • Contact Barbara