Orange County, California Therapist

Important Forms

Prior to beginning any therapy it's important that I, the therapist, have available to me background information on my client. By having you provide this information prior to our meeting it prevents us from spending an entire session just gathering information and allows me time, prior to our meeting, to formulate and decide on the direction we might go in therapy. 

Thank you for taking the time to complete the forms requested. 

Intake Form ~ Adult

If you will be seeing me for individual therapy please complete this intake form prior to our first meeting.  Just fill it out online and click "submit".  It will be sent directly to me.
Adult Intake Form

Limits of Confidentiality

Your therapist will protect your privacy and cannot release your information without your consent.  There are some exceptions to this. This document explains the exceptions. I will have this form at our first meeting and will review it with you. 
Limits of Confidentiality

Intake Form ~ Military

If you are serving, or have served, in our military please complete this intake form. This will give me a better understanding of when and where you have served and your role in our military.  When you have completed the form just click "submit".  It will be sent directly to me. Thank you! 
Military Intake Form
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Privacy Practices and Receipt

This HIPAA document explains your privacy rights.  It's important that you read it. I will provide this at our first meeting and will review it with you. 
Privacy Practices and Receipt

If you have questions
about my services please reach 
out to me at

714-584-6047    ~    [email protected].​​
Liz Birch, LMFT is a Marriage & Family Therapist who holds a license with the Board of Behavioral Sciences​ in the State of California.
​ Liz Birch is also a certified Hypnotherapist. 
          Liz Birch, LMFT, CHt  ~ 242 W Main St Ste 104 Tustin, CA 92780 ~ 714-584-6047 ~ L[email protected]
​​The information provided through this website is for informational purposes only.
​This information is not intended to and does not create a therapist-client relationship. 

​​@2024 Liz Birch, LMFT, CHt   Licensed Marriage & Family Therapist   CA Lic.#40999   ​Orange County, CA