Locations and Forms

FORMS:

Before your first session, please print and fill out the following two forms:

  1. The appropriate Personal Information Form (for individual adults, couples or children/teens)
  2. The Office Policies Agreement.

If you have difficulty downloading them, please contact your therapist to make plans to fill them out at the office.

Personal Information Form for Individuals



(for individual adults (18 and over) seeking therapy)

Personal Information Form for Couples



(each partner completes a separate form)

Personal Information Form for Children/Teens



(to be completed by parent and/or teen)

Informed Consent /
Office Policies



This form explains important elements of the therapy process and forms an agreement between you and your therapist. If a minor is the one participating in counseling, a parent needs to sign this consent as well as an additional form.  For couples, both partners sign one form.

LOCATIONS:

CENTRAL ORANGE COUNTY

1801 Parkcourt Place, Bldg F, Suite 205, Santa Ana, CA, 92701

Our office is close to the 55, 22 and 5 freeways.

LONG BEACH

  6621 E. Pacific Coast Highway, Suite 110, Long Beach, CA 90803

Our office is close to the 22 and 405.

Locations

Santa Ana
  1801-F Parkcourt Place, Suite 205
  Santa Ana, CA 92701
Long Beach
  6621 E. Pacific Coast Highway, Suite 110
  Long Beach, CA 90803