Client Forms
Welcome to Relationship Counseling Center of California.
Complete these forms to get started or access forms you need as an existing client.
Getting Started is Simple
We’ve made the intake process as straightforward as possible. You can complete these forms before your first session or during your first appointment, whatever works best for you.
New Client Forms
If this is your first time working with us, please complete these forms before or during your first session:
Client Intake Form
This comprehensive form helps your therapist understand what brings you to therapy, your mental health history, family background, current symptoms, physical health, and therapy goals. Information includes previous therapy experiences, what you’re struggling with now, family history, relationship status, medications, sleep patterns, and what you hope to achieve in therapy.
Coordinating Your Care
If you’d like us to collaborate with another healthcare provider (such as your physician, psychiatrist, previous therapist, or other mental health professional), complete this authorization form. This allows us to share relevant information to ensure you receive coordinated, comprehensive care.
Authorization for Release of Information
This form allows us to share specific information from your therapy sessions with other healthcare providers you choose. You’ll specify what information to share (treatment summary, full report, or specific details), who can share it, who should receive it, how it should be sent (written, verbal, or electronic), and how long the authorization is valid. This consent is voluntary and you can revoke it at any time in writing.
Need Help with Forms?
We’re here to help.
We’re here to make this process as easy as possible. If you have questions about any forms or need assistance, please reach out.
All inquiries are confidential, and we typically respond within 2-3 business days.