Laguna Counseling Marriage Family Therapy, Relationship Counseling, Individuals, Life Coaching

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Beverly Ventura
(949) 233-3362
beverly@lagunacounseling.com
Helpful Forms

If you're a new client, please complete the following forms and bring them to your first session.

  • Client Intake Form  One and Part Two 
  • Limits of Confidentiality/Cancellation Policy Form
  • Insurance Questions filled out if using insurance coverage

 

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form:

  • Consent to Release Information Form

 


Client Intake Form  
Confidentiality and Cancellation Policy  
Consent to Release  
Part Two Client Intake Form  
Insurance Questions  

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