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Nancy Drake, RN, MA, MFT
Therapy for Children, Individuals, Couples, & Families
Nancy Drake, RN, MA, MFT
License #MFC35246
Center For Family Empowerment

1808 San Miguel Drive
Walnut Creek, CA, 94596
925-945-2482

nancymdrake@sbcglobal.net


Now Serving the Following California Locations: Walnut Creek | Danville | Pleasant Hill | Alamo | Lafayette | San Ramon | Pleasanton

Specializing in: Parenting Support | Cancer Management | Addiction Counseling | Spiritual Direction |
Trauma Recovery | Family Counseling

Forms | Spiritual Counseling | Walnut Creek, CA

If you're a new client, please complete the following forms and bring them to your first therapy session.

  • Client Psychotherapy Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy

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 to Disclose Information Form

Client Psychotherapy Intake Form  
Limits of Confidentiality/Therapy Cancellation Policy  
Authorization, Office Policies, and Disclose Information Form  

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