(562) 619-9700 | info@kathleencounseling.com

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Client Forms

If you are new to therapy or counseling, please be sure to fill out the following forms, and bring them to your first session. This will help ease you into therapy and allow as much time as possible to focus on you.

Client Intake

Client Information

Authorization for Release of Information

Limits of Confidentiality

Kathleen Villagomez



(562) 619-9700
info@kathleencounseling.com

2301 E. 28th Street, Suite 309
Signal Hill, CA 90755



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Monday: 3pm to 8pm
Saturday: 8am to 3pm
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Contact Information

2301 E. 28th Street, Suite 309
Signal Hill, CA 90755

(562) 619-9700
info@kathleencounseling.com

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