FORMS
Pre-Screener

Fill out the Pre-screener

and Fax to

818-351-8130

Fill out the Couples Counseling Consent Form and Fax to 

818-351-8130

Couples Counseling Teletherapy Consent
Teletherapy Individual Consent

Fill out the Individual Counseling Consent Form and Fax to 

818-351-8130

17418 Chatsworth St. #201B, Granada Hills, CA 91344

Phone: 818-388-3292

Fax: 818-351-8130

©2020 by Zen and Health. All rights reserved.

Privacy Policy Disclaimer