Client Forms

Once you book an appointment with me and complete the payment you will receive the intake forms via email. You can download these fillable forms and upload it in the portal when completed.

You may also fill out these interactive forms below:



444 Larchmont Blvd. Los Angeles, CA 90004
3711 Long Beach Boulevard #500 Long Beach, CA 90807


therapy@coupleshealingcenter.com
(562) 353-5335

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