Psychodiagnostic request form

  • Select Location
  • Treatment
  • Biographical Information
  • Select Date & Time
  • Contact Information
  • Confirmation

Select Location

Select Location

Treatment

We provide Individual therapy, Psychological testing, and Group therapy. To see a list of all groups currently offered please go to www.pasadena-psychotherapy.com/groups

Biographical Information

Please provide your contact details; you will receive a confirmation email and three short forms to be completed online via our secure platform.

Select Date & Time

Click on a date to see a timeline of available slots, click on a green time slot to reserve it

Contact Information

Forms will be emailed to this email address; ensure it is an email that you check frequently.

Confirmation

Your appointment is scheduled. Shortly, you will receive a confirmation email and three online forms: complete all forms at least 24h before your appointment. If we do not receive these forms your appointment will be automatically canceled, with no exceptions.

Questions?

Call 626-354-6440 for help

Monday - Friday

9:00 am - 4:30 pm

Location Selection

Location Selection
Type of Treatment
Patient Information
Date & Time Selection
Contact Information
Appointment Confirmation
Huntington Beach (Online)
Online only - Orange County
Pasadena (Online only)
Online - Los Angeles County

Summary

Service
Duration
Location
Date
Time
Customer
Total Price
Total Attendies