Ella  Soleimany, MA, MFTCounseling & Psychotherapy for Individuals & Couples
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Ella Soleimany, MA, MFT
(805) 801-3552
ella@ellasoleimany.com
 

Forms

If you're a first-time client, please review and complete the following forms, bring them to your first session.

  • Client Intake Form
  • Client Consent Form

 

If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete the Authorization to Exchange Information Form.

 


Client Intake Form


Client Consent Form


Child's Intake Form


Authorization to Exchange Information


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