Let's Get Started

Please complete this questionnaire as soon as possible.  It must be completed prior to the start of your first appointment.  

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

Items you will need to complete this form:

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

Please answer all required questions and submit the form once complete. 

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

We look forward to working with you.