Welcome! Please print and fill up "New Patient Forms" before your first appointment with Dr. Libus and mail them to: Svetlana Libus, M.D 2615 PCH, ste 217 Hermosa Beach, CA 90254 Or email them to: doclib85@hotmail.com If you are United Behavioral Health member or Blue Shield of California member, please, include the copy of your insurance card.     New Adult Patient Forms   Adult Checklist of Concerns   Consent for Treatment   Patient Disclosure Authorization   Facesheet   Declaration Of Agreement Regarding Missed Or Canceled Appointment   E-Mail Policies     New Child Patient Forms   Child and Family Information Assessment Form   Consent for Treatment of Minor   Patient Disclosure Authorization   Facesheet   Declaration Of Agreement Regarding Missed Or Canceled Appointment   E-Mail Policies
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