Client Information

Client Intake Packet

Authorization To Release Confidential Information

Authorization To Release
Confidential Information

Consent To Treat a Minor

Consent
To Treat a Minor

Please complete the Client Intake Packet before our first meeting.

If you have any questions, please contact me.

Mark Tinley – Counselor

Phone: (213) 228-3511‬
Email: Mark@sCounseling.com

445 S Figueroa St #3128
Union Bank Plaza
Los Angeles, CA 90071