• Primary Location

    13925 City Center Dr,
    Suite 200 / 225,
    Chino Hills, CA 91709

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


Confidentiality Policy

Chino Hills Counseling Therapy Agreement 

Fill out these additional forms on an as-needed basis, if you are directed to do so:
Consent for Treatment of Minor

Authorization to Release Clinical File

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

CONTACT US

We hope to see you soon

  • Primary Location

    13925 City Center Dr,
    Suite 200 / 225,
    Chino Hills, CA 91709 United States

    Monday:

    9:00 am - 5:00 pm

    Tuesday:

    9:00 am - 5:00 pm

    Wednesday:

    9:00 am - 5:00 pm

    Thursday:

    9:00 am - 5:00 pm

    Friday:

    9:00 am - 5:00 pm

    Saturday:

    Closed

    Sunday:

    Closed

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Please do not submit any Protected Health Information (PHI).