Care coordination · PDF
Authorization to Coordinate Care
Use this form to authorize Jeffrey Kukral, LMFT, and one named therapist to communicate about your mental health care. The form can be filled out on a computer or printed.
Forms
Download the form you need and complete it before sharing it with your therapist.
Care coordination · PDF
Use this form to authorize Jeffrey Kukral, LMFT, and one named therapist to communicate about your mental health care. The form can be filled out on a computer or printed.