Fawn Gonzales, LCSW
Therapy for Individuals & Families
Fawn Gonzales, LCSW
Independent Practitioner
The Sharing Place
A Counseling Center
14 Cottage St.
Medford, OR 97504
For inquiries or to make an appointment:
(541) 944-7711
(541) 779-2390
(541) 779-3260 (fax)
Parking lot provided for your convenience.
Helpful Forms
To maximize our time together please print and fill out the following forms prior to your first appointment. If you would like me to coordinate care with a primary care physician, school, and/or other providers, please print out a Release of Information for each provider.
If you do not have access to a printer, please arrive 20 minutes prior to your scheduled appointment and the forms will be available for you to fill out at my office.
Client information paperwork (DOC — 68 KB)
Initial evaluation questionnaire .docx (DOCX — 56 KB)
Release of information form.docx (DOCX — 42 KB)
Credit Card Authorization Form.docx (DOCX — 72 KB)
Electronic communication consent form.docx (DOCX — 41 KB)