Gary Seeman, Ph.D.
(415) 271-2350
 

Office Hours:
Tuesday - Friday,
9:20 - 6:00


Calendar Openings

 

Make a Free First Appointment

Insurance and Sliding Scale Fees


Affordable Therapy Options

Office/Mailing Address:

582 Market St., Suite 715, San Francisco, CA 94104


(Marin practice is closed.)


Office Directions


Parking


E-mail Dr. Seeman


Encrypted E-mail


Phone: 415.271.2350


Note: I check voice and e-mail messages daily and respond reliably. If I don't respond, please try again.


I work mostly through office visits. See why I believe this works better!


Site Map

Forms and Notices

 

These forms are provided for your convenience. For new clients, this is not the intake page, which is located at this link.

The forms here are in Adobe Acrobat format for easy printing. If you don't yet have Adobe Acrobat Reader, you can get it at no charge through the following link: Adobe Acrobat Download Site.

Administrative Forms

  • Authorization to Release Confidential Information
  • Authorization to End Couples Psychotherapy
  • Clinical Forms, Questionnaires and Notices

  • Adult Biographical Information Questionnaire
  • Automatic Thought Record *
  • Marriage/Relationship Information Questionnaire
  • Professional Therapy Never Includes Sex
  • Intake Forms (please see instructions on intake page)

  • Business Arrangements
  • Contact Information for Insurance/Medicare Clients
  • Contact Information for Private Clients
  • Informed Consent Notice
  • Issues Checklist (optional)
  • Psychotherapy Checkup
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    * Downloaded 4/7/09 from http://students.georgiasouthern.edu/counseling/relax/ATR.pdf


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    For Self-Discovery, Better Relationships, Peace of Mind.SM Psychologist PSY19356