Bruce M. Gale, PhD
Clinical Psyxchologist PSY10598
16430 Ventura Blvd Ste 107
Encino, CA 91436
Phone: 818.788.2100     Email: bruce@bgalephd.com
 

Client Registration

Welcome to our secure online registration system. You may use this to sign up for any of our LUNCH Groups® Programs. If you have any questions or run into any problems, please contact Dr. Gale at bruce@bgalephd.com or call 818-788-2100 x1.

Services Desired/Agreement to Review

Please indicate the service(s) you are currently seeking: *
Which Summer Program are you interested in? *
Which School Year Program are you interested in? *
Right now, we are not accepting registrations for the 2020-21 School Year programs. Please use the contact form at www.lunchgroups.com to indicate your interest and we will place you on our contact list. We will begin accepting referrals for this program in June.
Agreement to Receive LUNCH Groups® Services
 
Please click here to download or view the Treatment Agreement for LUNCH Groups®. At the end of this electronic form, you will be asked to sign that you have received, reviewed, and agree with this information. If you have any questions or do not understand any portion of it, please DO NOT sign. Instead, please contact me so we may discuss any questions you may have prior to signing.
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