Jill Solomon MFT SEP
323 692 3759
  • About Jill and Therapy
  • Work Experience
  • Anxiety & Depression
  • Chronic Pain
  • Codependency
  • Drugs and Alcohol
  • Eating Disorders
  • Somatic Experiencing
  • Sex and Love Addiction
  • Teen Counseling
  • Contact
  • Payment & Billing
  • Directions
  • FAQ's
  • New Client information

New Client Forms


For your convenience, you can complete the following forms before you come in for your initial session. Please bring the signed paperwork with you to your session. If you'd prefer to complete it on the day of our meeting, I will have it ready for you in the waiting room. Thank you!
PDF versions
Client Information Sheet.pdf
File Size: 125 kb
File Type: pdf
Download File

Informed Consent.pdf
File Size: 78 kb
File Type: pdf
Download File

Release of Information.pdf
File Size: 6 kb
File Type: pdf
Download File


Word Doc Versions
Client Information.doc
File Size: 25 kb
File Type: doc
Download File

Informed Consent.doc
File Size: 33 kb
File Type: doc
Download File

Release of Information.doc
File Size: 23 kb
File Type: doc
Download File

Jill Solomon MFT  8271 Melrose Ave.  Suite #202 Los Angeles, CA 90046   323 692 3759 
License MFC 40159