Your story is not over; keep going

Irimiya Trauma Therapy is a group practice in Ventura, CA and all sessions are by appointment only.

Contact us.

We are Ventura County's mental health trauma therapy center and we know how important it is for you to schedule an appointment as soon as possible.

By completing this form, you are taking a meaningful step toward healing and support. The information you share helps us better understand your unique experiences and needs so that we can connect you with a therapist who is the right fit for your journey.

We recognize that sharing personal and sensitive details can feel difficult, and we want to reassure you that everything you share will remain confidential. The more open you’re able to respond, the better we can walk alongside you in your path toward healing. You are not alone—we are here to support you every step of the way. A member of our team will respond within 24 hours.

info@irimiyacounseling.com
(805) 509-0296 (text or call)

Irimiya Trauma Therapy

5450 Ralston Street STE 205
Ventura, CA 93003

Name

First Name

Last Name

Date of Birth

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Phone

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Is it okay to text you?

City of Residence

Have you attended therapy in the past?

What is your availability for therapy?

Please indicate available days and times. Our Practice hours are M-F, 8 am to 5 pm. Our last appointment is scheduled at 4 pm. We are closed on the weekends.

Types of Therapy

Please describe briefly what you are seeking therapy for. Any symptoms of behaviors you or your child are experiencing?

Payment Services

Please provide your insurance MEMBER ID # and GROUP # or Victims of Crime application approval #.

If you do not plan to use insurance, please write "None".

Please select your preferred therapist. We will try our best to connect you with your preferred therapist. All of our therapists provide in-office and online therapy.

When is the best time to contact you to schedule an appointment? This will take about 5 - 10 minutes to discuss. Please specify some days and times and we will try our best to reach you during that time?