Forms

Please click on the form that you are needing to sign below.  The form will automatically be sent to your therapist.

Intake Forms: 

Please click below to view/sign the Long Beach Therapy’s general consent form and online consent form for your specific therapist below:

Jeanessa Blair

Darlene Kalenik

Miguel Claros

Robin Reed

Marlee Maghlorio

***If you’re not sure which intake form to fill out, please ask your therapist. ***

 

Other Forms:

Release of information: Click here to sign.

Credit Card Authorization Form: Click here to sign.

Collateral Form: Click here to sign.

Adolescent Waiver For Parent:  Click here to sign.

No Secrets Policy: Click here to sign.

PTSD checklist: Click here to fill out