Child, Adolescent & Adult Psychologist

Dr. Charles E. Gutierrez, Ph.D.

For your convenience, we have attached all the new patient forms.

​     Please  complete these forms prior to your visit, to help reduce your wait time.

We have provided a couple of ways for you to complete these forms:

1) Print a blank form to complete by hand and bring to your appointment.

2) Complete online, print a copy and bring to your appointment. 


Patients who complete their paperwork first, 

will be seen first.