​Contact Us: 951.218.0951​

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    Forms for your first appointment

    Client Information and Consent Form
    Disclosure Statement
    Telehealth Consent Form
    Child Intake Form
    Child Consent for Treatment Form
    No Secrets Policy

    Adult Forms

    Child Forms

    Couples Therapy

    7365 Carnelian St. Ste. 202

    Rancho Cucamonga, CA 91730

    Fax Us:

    877.850.5695

    Call Us:

    951.218.0951

    Email Us:

    ranchotherapist@gmail.com

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