Kristin's Comfy Couch Family Counseling Kristin Perry, LMFT
Kristin's Comfy Couch Family CounselingKristin Perry, LMFT

Admissions and Assessment Forms

Admissions Forms: It is helpful if you print and complete these forms in advance and bring them with you to your first session. Thank You!

Informed Consent Form- Authorization to Treat
A document describing counseling process, fees, procedures etc. Requires client signature. Mandatory form.
KCC Informed Consent.pdf
Adobe Acrobat document [232.5 KB]
Adult and Teen Self Assessment Form & Client History
Please fill out before first session. Feel free to leave sections blank or write in N/A if the question does not apply to you or you are uncomfortable answering.
Adobe Acrobat document [411.3 KB]
Child's Intake Assessment Form
Complete this form insteas of the adult and teen assessment form for children under the age of twelve.
Adobe Acrobat document [123.4 KB]
Kristin's Comfy Couch Notice of Privacy Policies
Informational Only- HIPPA Compliant Notice of Privacy Policies for Consumers
Adobe Acrobat document [55.6 KB]
Authorization for Release of Information
Complete this form if communication with a school, doctor, court, or other outside organization or person is needed to help you. Please complete a separate form for each entity.
Adobe Acrobat document [58.3 KB]
Clerical authorization to use or disclose protected health information
Release form describing administrative and clerical management issues related to your counseling information. Requires client signature.
Adobe Acrobat document [37.2 KB]
Electronic communication disclosure form
Describes the limits to confidentiality presented by electronic communication- or e-mail and establishes practice's policies. Requires client signature, or decline.
Adobe Acrobat document [87.6 KB]
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Find your balance with Kristin Perry, MFT

BBS Registration #48092


 If you are a prospective, former or current client, and need to reach me, it is easier for me to respond to texts or emails and schedule phone contact:

(619) 368-9339



Emergency Information

Please call 911 


24 Hour

Access and Crisis Line: 



The National Suicide Prevention Hotline


in the event of an Emergency.


Check out my FAQs for additional information and help.


Address and Phone

Kristin Perry, MFT


Kristin's Comfy Couch

Family Counseling

2558 Roosevelt Street

Suite 201

Carlsbad, CA 92008


Phone; 760-978-6071


To reach me, or schedule a time to talk, please text my cell phone number below, or e-mail me through the contact link or at the address below, it is sometimes difficult for me to talk on the phone, because I'm home with my very busy child much of the time:



Text 619-368-9339


Fax: 858-860-5299




For all Your Carlsbad Counseling Needs


"Specializing in Teens—

and Normal People Too!"