Cognitive Renewal555 Middlefield RdSuite 203Palo Alto, CA 94301ph: 650-989-2956fax: 650-472-3711heatherhansen@cognitiverenewal.com
Please fill out forms prior to our first session.
Registration Form
Child and Adolescent History Form
Extensive Child and Adolescent History Form
Child Behavioral Checklist of Concerns
Release of Information
Brief HIPPA Consent
Full HIPPA Consent