Client Forms

If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session.

Forms for Couples Treatment

Forms for Individual Treatment

Forms for Family Treatment

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Authorization for Release of Information

 

Contact Today



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

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