• Contact Now Schedule an Appointment

    2790 Skypark Drive Suite 305 | Torrance, CA 90505
    ashraf@awaytohealingtherapy.com | (310) 866-6700

  • Ashraf Hosseini Therapy

    My WordPress Blog

    • Home
    • About
    • Services Provided
      • Couples Therapy
      • Problem Gambling
    • Getting Started
      • FAQs
      • Rates and Insurance
      • Client Forms
      • Appointment Request
    • Resources
      • Recent News
      • Mental Health Links
      • Physical Health Links
    • Contact
    • Blog

    Client Forms

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

    Client Psychotherapy Intake Form

    Information Sheet

    Limits of Confidentiality

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

    Authorization for Release of Information

    Contact Today

    2790 Skypark Drive Suite 305
    Torrance, CA 90505

    (310) 866-6700
    ashraf@awaytohealingtherapy.com

    Contact Today

    Ashraf Hosseini
    ashraf@awaytohealingtherapy.com | (310) 866-6700

    A Website by Brighter Vision | Privacy Policy

    Brighter Vision