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559-582-5900
chawntayh@emdrtherapycalifornia.com


Chawntay Mckinzie

Client Forms

If you are new to the working with Chawntay Hernandez, please be sure to fill out the following forms, and bring them to your first session. A packet containing these forms can be mailed to you prior to your first session  if you request them. This will help ease you in and allow as much time as possible to focus on you.

Client Intake

Client Contact Information Sheet

Limits of Confidentiality

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Authorization for Release of Information

Chawntay Mckinzie
LCSW #20096

42538 Buckeye Rd.
Oakhurst, CA 93644

(559) 582-5900
chawntayh@emdrtherapycalifornia.com

Hours
Tuesday-Friday
10:00 AM to 6:00 PM


Contact Me Today

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Chawntay Mckinzie, LCSW
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