(562) 353-5335

therapy@coupleshealingcenter.com

Forms for Couples Treatment

Couples Counseling Intake Form

Informed Consent

Notice of Privacy Practices

Limits of Confidentiality

Client Information

Attachment History Questionnaire

Credit Card Payment Consent Form



444 Larchmont Blvd. Los Angeles, CA 90004
3711 Long Beach Boulevard #500 Long Beach, CA 90807
18811 Huntington, St. #200 Huntington Beach, CA 92648


therapy@coupleshealingcenter.com
(562) 353-5335

Got Questions?
Send a Message!