Adolescent Child Therapy Intake Forms

Family/ Adolescent or Child Therapy Intake Forms

Family/Adolescent or Child Intake may be Previewed here.

Before submitting a form, we ask that you have a phone screening with an intake counselor. Please call 310-271-9999.

There are 3 different options to submit Intake Forms:

    1. Download this PDF application and email the completed application to
    2. Once confirmed, complete the form through DocuSign here. 
    3. Call our office to receive an application by mail and once completed mail back to TMCC. 

Your Intake Appointment will be scheduled once your completed application has been received and you have paid the Intake fee.