Jacqueline Titus, Ph.D
Please Call Today: 517.599.4934

page_banner_flowers1 

Patient Forms

Acknowledgement of NPI and consent to tx.pdf
Download Form


Child and Adolescent Information.pdf
Download Form


Client Application.pdf
Download Form


Doctor - Patient Policies and Information.pdf
Download Form


HIPAA Notice.pdf
Download Form


Registration Form.pdf
Download Form


Child email authorization form.pdf
Download Form


accepting credit cards signature on file.pdf
Download Form


Custody case child protection agreement.pdf
Download Form

 

jacqueline-titus-psychologist-logo


Please Call Us Today: 517.599.4934

Contact Info

  • Psychological Services Of East Lansing
  • Jacqueline Titus, Ph.D
  • 411 Lake Lansing Rd, Suite 120A
  • East Lansing, MI  48823
  • Tel: (517) 599 - 4934
  • Fax:(517) 489 - 4444
  • info(at)jacquelinetitusphd.com

Why Choose Psychological Services Of East Lansing?

Jacqueline Titus, Ph.D is a clinical psychologist practicing in the East Lansing, Michigan area.  She provides therapy and treatment for a wide range of mental health, emotional, behavioral, and relationship issues in a caring, supportive environment.

Website Links

Social Media Links

Popup Module

This is the Popup Module feature. Assign any module to the popup module position, and ensure that the Popup Feature is enabled in the Gantry Administrator.

You can configure its height and width from the Gantry Administrator.

More Information