RADIO PROGRAM


New Patient Forms

Please download and fill out the
New Patient information Form Part 1 [download]

and New Patient Information Form Part 2 [download]
and bring them with you to the office.

Please also download and keep the HIPPA Privacy Form.

NOTE: Initial the last page of this form and bring that page with you
to your appointment. This documents only that you were given the form.

Linda C. Sanicola, Ph.D.
PSY8896

11770 Warner Ave. Suite 121, Fountain Valley, CA. 92708 

714-486-1778 (PHONE)
714-486-1821 (FAX)  

 

Patient Testimonial

"I wanted to tell you a long overdue and heartfelt thank you for helping me. I remember you as being the only adult that understood me and
at that time that meant
the world to me".

 

Patient Testimonial

"You have given me the tools to be happy and successful in my life
and I am now using them!"

Patient Testimonial

"Thank you for all of your help and patience in our son's recovery process. The good news is that he is now getting straight A's in his classes and working 20 hours a week. Things are going well and he is his old self again! We are thrilled with his progress. Thank you again."

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