Oak Creek Relational Counseling Center
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    • Working with OCRCC
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  • Meet Our Therapists
    • Julie Beach (Trainee)
    • Tiffany Castillo (Trainee)
    • Sara Diaz (Trainee)
    • Madison Gluck (Trainee)
    • David Libby (Associate)
    • Hanna Ma (Trainee)
    • Maddy Mellema (Associate)
    • Leila Mohajerany (Associate)
    • Sondos Nemati (Associate)
    • Donna V. Norona (Associate)
    • Dawn Orlando (Associate)
    • Angelina Rinaldi (Trainee)
    • Tasal Sherzad (Associate)
    • Desiree Tatarazuk (Trainee)
    • Francis Toal (Associate)
    • Kevin Tran-Mortel (Associate)
    • Sara Zavala (Trainee)
  • Forms
    • Individual Intake Forms
    • Couples Intake Forms
    • Minors Intake Forms
    • Formularios de admisión españoles
    • Additional Forms
  • Client Hub
  • LEARN
    • Resources
    • Open Groups
    • CBT Homework Packs
    • Blog
  • Contact Us
  • Home
  • ABOUT THE CENTER
    • About Oak Creek
    • Working with OCRCC
    • Telehealth
    • Take a Tour
    • Directions
    • Payment Methods
  • Meet Our Therapists
    • Julie Beach (Trainee)
    • Tiffany Castillo (Trainee)
    • Sara Diaz (Trainee)
    • Madison Gluck (Trainee)
    • David Libby (Associate)
    • Hanna Ma (Trainee)
    • Maddy Mellema (Associate)
    • Leila Mohajerany (Associate)
    • Sondos Nemati (Associate)
    • Donna V. Norona (Associate)
    • Dawn Orlando (Associate)
    • Angelina Rinaldi (Trainee)
    • Tasal Sherzad (Associate)
    • Desiree Tatarazuk (Trainee)
    • Francis Toal (Associate)
    • Kevin Tran-Mortel (Associate)
    • Sara Zavala (Trainee)
  • Forms
    • Individual Intake Forms
    • Couples Intake Forms
    • Minors Intake Forms
    • Formularios de admisión españoles
    • Additional Forms
  • Client Hub
  • LEARN
    • Resources
    • Open Groups
    • CBT Homework Packs
    • Blog
  • Contact Us

Minor Intake Forms

All forms must be completed and returned to your therapist before you can begin your first session.  
Children and Adolescents Telehealth Consent
File Size: 136 kb
File Type: pdf
Download File

Child Intake Form
File Size: 294 kb
File Type: pdf
Download File

Teen (12-17) Intake Form
File Size: 296 kb
File Type: pdf
Download File

Client Informed Consent
File Size: 147 kb
File Type: pdf
Download File

Consent to Treat A Minor
File Size: 154 kb
File Type: pdf
Download File

CAMFT Acknowledgement of Receipt of Privacy Practices
File Size: 85 kb
File Type: pdf
Download File

CAMFT Notice of Privacy Practices
File Size: 43 kb
File Type: pdf
Download File

Covid-19 Release of Liability
File Size: 124 kb
File Type: pdf
Download File

If this task is inaccessible to you, please let your therapist know so they can make accommodations. ​
Hours by Appointment
408-320-5740
[email protected]
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