Psychodiagnostic request form

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

Select Location

Select Location


We provide Individual therapy, Psychological testing, and Group therapy. To see a list of all groups currently offered please go to

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.


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.


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) 16787 Beach Blvd, STE 1001, Huntington Beach, CA, 92647
Pasadena (Online)
(Online) 595 E. Colorado Blvd, STE 428, Pasadena, CA, 91101


Total Price
Total Attendies