Helpful Forms

If you're a first-time client, please review and complete the following forms that apply to you and bring them to your first session.

  • Adult Questionnaire
  • Adult Informed Consent
  • Minor Questionnaire
  • Minor Informed Consent
  • Hipaa Notice of Privacy Practices
  • Hipaa Authorization to Disclose Protected Health Information

PDF FORMS

Adult Questionnaire

To be completed for new adult clients

Adult Informed Consent

To be completed by all new adult clients

Minor Questionnaire

To be completed for new minor clients

Minor Informed Consent

To be completed for new minor clients
Hipaa Privacy Practices To be completed for all new clients
Consent of Non-Secure Forms To be completed for all new clients
Authorization of PHI To be completed for all new clients

Note: To download Adobe Acrobat Reader for free, click here .

Schedule Appointment

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Helpful Forms

Click here to view and print forms for your appointment

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Costa Mesa, CA Therapists

Life In Progress, INC

445 E. 17th St.
Suite D
Costa Mesa, CA 92627
(949) 380-1573

[email protected]


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