Let's Get Started

Complete each section of this Intake Form as soon as possible.  It must be completed 24 hours prior to the start of your appointment.  

For couples or family counseling, each participant must complete their own intake form.  

Items you will need:

  • California ID or Driver's License
  • Insurance Card if Applicable
  • Covid Vaccination Record
  • Credit Card

Answer ALL required questions and submit the form once complete. 

Call or message (562) 431-5100 if you have any questions.