Client Forms

Client Forms

Important: All forms must be completed and returned within 48 hours of your scheduled appointment. Your appointment will be confirmed when completed forms are received within this timeline. If forms are not returned within 48 hours, the appointment may be rescheduled once forms are completed.

Client Information Form

Your personal and contact information required for intake into the practice.

Download Form

Informed Consent for Treatment

Required consent acknowledging your understanding of the therapeutic process, rights, and confidentiality.

Download Form

Telehealth Informed Consent

Consent specifically for telehealth sessions via Doxy.Me including platform privacy disclosures.

Download Form

Policy Statement – General

General policies of the practice including cancellation, payment, and communication policies.

Download Form

Policy Statement – IEHP / Medi-Cal

Specific policy statement required for clients covered under IEHP or Medi-Cal plans.

Download Form

Return Completed Forms To:
Fax: 1-909-673-1362 | Email: coronada1@verizon.net

Your Journey Begins
With One Courageous Step

You don’t have to navigate life’s hardest moments alone. Whether you’re facing anxiety, grief, relationship challenges, or simply a season that feels too heavy to carry — help is here. Reach out today to schedule a confidential appointment with Deborah A. Corona, LMFT, and take the first step toward living life in truth.