Authorization for Exchange of Information
Please download and fill out this form for the Release and Receipt of Confidential Clinical Health and Educational information.
Intake Questionnaire
For new clients, please download and fill out this Intake Questionnaire, giving us the client’s health and behavior history.
Mail completed forms to:
Halo Behavioral Health
Attn: Bryan Burra
15335 Morrison Street #320
Sherman Oaks, California 91403-6709
Office
15335 Morrison Street #320
Sherman Oaks, California 91403-6709