Jack Ayvazian PH.D.
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Forms

Download these forms before your visit

ADULT Form
CHILD Form

Additional Forms

Health History (AHH) click to download form
Mental Health Intake (AMHI) click to download form
Child Mental Health History (CMHH) click to download form
Authorization to Disclose Medical Records click to download form
Neuropsych (Adult) click to download form
Neuropsych (Child) click to download form
Preparation for Testing Child
Preparation for Testing Adult

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(818) 388-4108

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