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Documents & Forms

Forms and documents serve an essential purpose in creating a safe and effective therapeutic environment. This comprehensive data allows our therapists to tailor their approaches, fostering a deeper understanding of each individual’s unique journey.

Please fill out the form on a laptop or desktop. Not compatible on mobile, or in Apple Preview. Thank you for your understanding!

FORM 01

Psychotherapy Intake Form

Our intake form gathers important information to better understand your needs and tailor a plan accordingly. Intakes help with effective communication and personalized support.

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FORM 02

Release of Information Form

Our release of information form allows clients to authorize their therapist to share relevant information with other healthcare providers or individuals.

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FORM 03
Consent Form for Treatment of Minors

Our consent form for the treatment of minors is designed to obtain permission from a parent or guardian for a minor to receive mental health services, ensuring that they understand the therapy process and its implications.

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Get In Touch With Us

© 2025 Affirmative Counseling Center. All Rights Reserved. LMFT 48870.

Affirmative Counseling Center

5919 West 3rd Street, Suite 1E

Los Angeles, CA 90036

Gay Owned and Operated

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