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Patient Forms

For your convenience, you can find most of the clinic's forms on this page. Please complete the forms that pertain to the type of service you are seeking to make your first appointment more efficient. If you have any questions about which forms you need to complete, do not hesitate to call us.

The .pdf forms are fillable; however, your answers cannot be saved. Please make sure to print the completed forms.
Note
For the patients seeking an evaluation:
​* It is very important that the patient is well-rested and has a nutritious meal before arriving for his/her assessment appointment. ​
* Bring copies of any prior psychological, psychoeducational, neuropsychological testing reports and IEP paperwork to your first appointment.

Where to Find Us

Contact

​Email: ​​dr.zaytsev@gmail.com 

Tel:  323-682-8225​ (Sherman Oaks)

Tel:  619-658-4794 (San Diego)

Fax: 323-396-9987

Office Locations

​15335 Morrison Street, Ste. 205
Sherman Oaks, CA 91403

5230 Carroll Canyon Rd, Ste. 316
San Diego, CA 92121

Office Hours

Monday - Friday
By appointment only

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