Oak Creek Relational Counseling Center
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    • About Oak Creek
    • Working with OCRCC
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    • A Partnership Opportunity for Medical Practices
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  • Meet Our Therapists
    • Julie Beach (Associate)
    • Tiffany Castillo (Trainee)
    • Sara Diaz (Associate)
    • Madison Gluck (Trainee)
    • Lauren Hlavac (Trainee)
    • David Libby (Associate)
    • Donna V. Norona (Associate)
    • Dawn Orlando (Associate)
    • Hanna Ma (Trainee)
    • Maddy Mellema (Associate)
    • Leila Mohajerany (Associate)
    • Angelina Rinaldi (Trainee)
    • Tasal Sherzad (Associate)
    • Francis Toal (Licensed)
    • Stacey Watson (Associate)
    • Sara Zavala (Associate)
  • Forms
  • LEARN
    • Resources
    • Blog
  • Contact Us
  • Home
  • ABOUT THE CENTER
    • About Oak Creek
    • Working with OCRCC
    • Telehealth
    • Couples Therapy Pleasant Hill
    • A Partnership Opportunity for Medical Practices
    • Directions
    • Take a Tour
    • Payment Methods
  • Meet Our Therapists
    • Julie Beach (Associate)
    • Tiffany Castillo (Trainee)
    • Sara Diaz (Associate)
    • Madison Gluck (Trainee)
    • Lauren Hlavac (Trainee)
    • David Libby (Associate)
    • Donna V. Norona (Associate)
    • Dawn Orlando (Associate)
    • Hanna Ma (Trainee)
    • Maddy Mellema (Associate)
    • Leila Mohajerany (Associate)
    • Angelina Rinaldi (Trainee)
    • Tasal Sherzad (Associate)
    • Francis Toal (Licensed)
    • Stacey Watson (Associate)
    • Sara Zavala (Associate)
  • Forms
  • LEARN
    • Resources
    • 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_form__english__2024_fillable.pdf
File Size: 155 kb
File Type: pdf
Download File

child_intake_form_2023__english__1_fillable.pdf
File Size: 490 kb
File Type: pdf
Download File

teen_intake_form_2023__english__1_fillable.pdf
File Size: 1465 kb
File Type: pdf
Download File

client_informed_consent_2026_updated.pdf
File Size: 212 kb
File Type: pdf
Download File

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

camft_acknowledgement_of_receipt_notice_of_privacy_practices__1__1_fillable.pdf
File Size: 91 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_form__english__updated.pdf
File Size: 100 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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