Richard Recor, PhD
Clinical & Forensic Psychologist


Richard D. Recor, Ph.D.
License No. PSY 11255

200 Newport Center Dr., Suite 203
Newport Beach, CA 92660
(949) 720-0167 (office)
(949) 720-1151 (fax)
drrecor@sbcglobal.net
New Patient Forms

If you are a new client, please complete the following forms and bring them to your first therapy session.

  • Patient Consent Form HIPPA
  • Adult New Patient Form
  • Child New Patient Form

If you would like Dr. Recor to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

  • Consent to Exchange Information Form

Patient Consent Form HIPPA  
Adult New Patient Form  
Child New Patient Form  
Consent to Exchange Information Form  

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