Jack Mayhall, PhD - Licensed Marital & Family Therapist
If you're a new client, please complete the following forms and bring them to your first session. Thank you

Informed Consent


Couples Therapy  Professional Counseling  Psychotherapy  Counseling  Dream Analysis  Relationship Counseling  Jack Mayhall, PhD  Los Angeles, Irvine

 Intake Questionnaire
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form:

310 422-6803