Intake Packet
Forms to complete include:
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Client Information
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Intake Questionaire
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Practice Policies
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Notice of Privacy Practices
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Informed Consent for Psychotherapy
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Credit Card Authorization
Mental Health Information - Hotlines and Websites
For emergency situations, please call 911
Los Angeles County Department of Mental Health
(800) 854-7771
211 LA County (or 211 LA) is the hub for all types of health, human, and social services in Los Angeles County.
SUICIDE SUPPORT
National Suicide Prevention Lifeline
(800) 273-TALK (8255)
https://suicidepreventionlifeline.org/
Online chat available
Text LA to 741741
https://www.crisistextline.org/
Connect with a trained crisis counselor to receive free crisis support via text message.
Didi Hirsch Mental Health Services
Trevor Project – National 24HR suicide hotline for LGBTQ youth
1-866-488-7386
Texting available
online chat available
INPATIENT AND OUTPATIENT PROGRAMS
West Valley Mental Health Center, Chatsworth –
Intensive Outpatient program available
(818) 407-3200
Adventist Health, Glendale –
Inpatient and Intensive Outpatient programs available
24HR Emergency Hotline: (818) 409-8234
Information/Intake Coordinator: (818) 409-8347
Senior Behavioral Health Services, Sherman Oaks Hospital and Encino Hospital Medical Center -
Inpatient program available
(866) 964-9221
UCLA Resnick Neuropsychiatric Hospital –
Serving adults, children/adolescents, seniors
(310) 825-9111
National Institute of Mental Health
https://www.nimh.nih.gov/health/index.shtml
and
National Alliance on Mental Illness
(800) 950-6264 or text “NAMI” to 741741
Information on mental health issues including Post-Traumatic Stress Disorder (PTSD), Personality Disorders, Bipolar Disorder, and Obsessive-Compulsive Disorder (OCD)
SUBSTANCE ABUSE
Substance Abuse Service Helpline
(844) 804-7500
http://publichealth.lacounty.gov/sapc/
Operated by the LA County’s Department of Public Health.
Alcoholics Anonymous
www.aa.org – Information and Local AA meeting location finder
http://aa-intergroup.org – online meetings/groups
www.sfvaa.org, (818) 988-3001 – San Fernando Valley AA
www.LACOAA.org, (323) 963-4343, (800) 923-8722 – Los Angeles Central Office AA
(323) 750-2039 – Oficina Central Hispana
SEXUAL ASSAULT
RAINN – Rape, Abuse, Incest National Network – National Sexual Assault Hotline
1-800-656-HOPE (4673)
online chat available
EATING DISORDERS
National Eating Disorders Association –
https://www.nationaleatingdisorders.org/
(800) 931-2237
Text “NEDA” to 741741
Online chat available
ANXIETY
Anxiety sites:
https://www.helpguide.org/articles/anxiety/anxiety-disorders-and-anxiety-attacks.htm
https://www.calm.com/ (App)
WOMEN’S HEALTH
U.S. Department of Health and Human Services, Office on Women’s Health, Mental Health
https://www.womenshealth.gov/mental-health
CANCER SUPPORT
Simms/Mann – UCLA Center for Integrative Oncology
https://www.simmsmanncenter.ucla.edu/
(310) 794-6644
SimmsMannCenter@mednet.ucla.edu
INFERTILITY SUPPORT
RESOLVE: The National Infertility Association
GRIEF SUPPORT
Our House Grief Support information
COUPLE SUPPORT
Emotionally-Focused Therapy for Couples information
https://iceeft.com/what-is-eft/
FAMILY SUPPORT
Structural Family Therapy information
http://www.minuchincenter.org/structural_family_therapy
Stepfamily Foundation information
ADOLESCENT SUPPORT
TeenLine National Hotline
(310) 855-4673
Text “TEEN” to 839863
TEEN TALK App available
SELF HARM
Self Abuse Finally Ends (SAFE) Alternatives
National Hopeline Network
(800) 784-2433
ABUSE
ChildHelp National Child Abuse Hotline
(800) 4-A-Child (422-4453)
http://www.childhelp.org/hotline/
Reporting:
Los Angeles County Department of Children and Family Services
(800) 540-4000
National Domestic Violence Hotline
(800) 799-7233
Online chat available
Local:
Los Angeles County Domestic Violence Safety Plan Hotline
(800) 978-3600
Adult Protective Services and Elder Abuse Hotline
(800) 222-8000
https://www.caregiver.org/adult-protective-services-and-elder-abuse-hotline-1
Baby Safe Surrender
(877) 222-9723
DISABILITY SUPPORT
Americans with Disabilities Act (ADA)
http://dpss.lacounty.gov/wps/portal/dpss/main/programs-and-services/civilrights/ada/
(844) 586-5550
North Los Angeles County Regional Center, Chatsworth
State of California Department of Developmental Services
(818) 778-1900
DISASTER RELIEF
(800) 985-5990
https://www.samhsa.gov/find-help/disaster-distress-helpline
SAMHSA’s Disaster Distress Helpline provides crisis counseling and support to people experiencing emotional distress related to natural or human-caused disasters.
GENERAL INFORMATION
Psychology Today – types of therapy