Client Forms

If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session.

Client Intake Form

Information Sheet

Limits of Confidentiality



1151 Dove Street Suite 220
Newport Beach, CA 92660

DrCherylDale@gmail.com
(714) 291-0793
*For text messages, please contact 949-315-1712*

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