Payments and Forms


I accept PayPal and Venmo. To pay with PayPal, please fill out the following form. Upon selecting “Pay Now” you will be taken to PayPal to finish your transaction.

To pay with Venmo, click here.


Chambliss & Associates, LMFT Session
Other Amount
Your Name:

Cancellation Policy:

If you do not show up for your scheduled therapy appointment, and you have not notified me at least 24 hours in advance, you will be charged a Late Cancellation/No Show Fee of $275.


Prior to your first session, please download and complete the New Client Intake Form and Telehealth Consent Form using Adobe Reader. Completed forms can be emailed to cathychambliss@aol.com. However, please note that emails are not encrypted and there is a risk of exposure. If you do not want to send your completed forms via email, please notify us.


New Client Intake Form


Informed Consent for In-Person Counseling Services During COVID-19 Pandemic


Telehealth Consent Form

Contact Chambliss & Associates

Marriage and Family Therapy

Ask a question or book an appointment below.

(310) 303-9132 (Call or Text)

727 2nd Street, Suite 105
Hermosa Beach, CA 90254