Forms & Consents
​Please fill the corresponding form, below before your initial visit.
These forms are on a PDF format so you can type or write on them, once you have filled them you can upload them to the Client Portal or Print  it out completely and bring it with you during your Initial Consultation. This will ensure we will use our time together more efficiently.

1--Adult Intake-IEHP
File Size:	5961 kb
File Type:	pdf

Download File

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2-Child Intake--IEHP
File Size:	6897 kb
File Type:	pdf

Download File

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3-Adult Intake
File Size:	6559 kb
File Type:	pdf

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4-Telehealth Consent
File Size:	75 kb
File Type:	pdf

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5-Child Intake
File Size:	7597 kb
File Type:	pdf

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6- Adulto Intake-IEHP en Español
File Size:	6486 kb
File Type:	pdf

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7-Telemedicine Español
File Size:	79 kb
File Type:	pdf

Download File

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8-Intake Adulto/Español
File Size:	6898 kb
File Type:	pdf

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Notice Of Privacy Practices
File Size:	43 kb
File Type:	pdf

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Notice of Privacy Practices en Español
File Size:	28 kb
File Type:	pdf

Download File

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Click below "Client Portal"to upload documents  to your TherapyPortal into "Blank(put documents here)"
Haga click  aqui abajo donde dice "Client Portal" para mandarnos documentos desde su TherapyPortal en el archivo"Blank(put documents her)"

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​Client Portal

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Call Us if you have any Questions (951) 249-7288 

We accept these Insurances
TRICARE, CHAMPVA, IEHP, MHN