Dr. Kathy Allard’s Office Forms and Policies for new patients. Serving patients in the San Francisco Bay Area with offices in Burlingame and Sonoma.

Read & Complete Office Forms


Please review and sign the office policies and forms at least two days prior to your appointment time. These explain my office procedures, and offer an agreement for psychotherapy services.

For your convenience, forms can be completed and signed online. If you prefer, you may also download PDFs and email the completed, required forms to psy@drkathyallard.com. I also ask that you download and complete the Credit Card Authorization PDF form to hold your appointment time. Please read my cancellation policy carefully. 


Please Complete


1. Patient Data Sheet
Download PDF

2. Acknowledgement form
Download PDF

3. Credit Card Authorization**

** I ask for the the Credit Card Authorization form to hold your appointment time. For your security,  the Credit Card Authorization is not filled out online. You can relay this information when we schedule your time on the phone, and bring your completed form with you to your first appointment.

Policies & Agreement for Services

Please Read

1. Office Policies & Agreement