Helpful Forms

If you're a new client, please complete the following forms and bring them to your first appointment. Please arrive ten (10) minutes prior to your appointment time with completed paperwork.

HIPPA - Privacy Policy Disclosure

Client Information Form

Cancellation Fee Policy


Consent for Treatment of Minor

Confidentiality Policy

Chino Hills Counseling Therapy Agreement

Authorization to Release Clinical File


Note: To download Adobe Acrobat Reader for free, click here .

Contact Us

Location

Availability

-- Individual Therapist Hours Vary --

Monday:

9:00 am-8:00 pm

Tuesday:

9:00 am-8:00 pm

Wednesday:

9:00 am-8:00 pm

Thursday:

9:00 am-8:00 pm

Friday:

9:00 am-6:00 pm

Saturday:

Select Clinicians Only

Sunday:

Closed