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hanh@healingspacetherapyinc.com
(562) 285-3509

Healing Space Therapy

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Client Forms

If you are new, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you.

Client Intake Form

Information Sheet

Informed Consent for Minors

Informed Consent

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Authorization for Release of Information

Contact Today

 

Hanh Dang, LCSW

(562) 285-3509
hanh@healingspacetherapyinc.com

2230 W. Chapman Ave. Suite #207,
Orange, CA 92868

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Hanh Dang, LCSW

 

(562) 285-3509


hanh@healingspacetherapyinc.com

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Happiness is when what you think, what you say, and what you do are in harmony.

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