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:

PARENTS signing a consent for their child: If you are a parent signing this form for your child, please fill out this form and also send us a picture of your government issued ID to: Amie@LongBeachTherapy.com

Jeanessa Blair

Darlene Kalenik

Robin Reed

Marlee Maghlorio

Victoria Andrade

***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