Low-Cost Fee Discount Program Application

Imtasik Family Counseling Services offers our client forms online so they can be completed in the convenience of your own home or office.

  • Download the application below and fill in the required information. 

  • Please bring application and required documents with you to your appointment or scan and email to dp.imtasik@gmail.com.

We provide individual, couples, family, and group counseling. Imtasik believes that counseling is to the soul as exercise is to the body. Life will most certainly involve twists and turns, and whether proactively approaching...

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6809 Indiana Ave Ste 201 Riverside, CA 92506


Monday through Friday 8AM-7PM
Saturday Off
Sunday  from 8AM-1PM.

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