For your first counseling session in San Jose.

Below are the forms for you to sign prior to your first appointment. Print them out and bring them with you. If you have questions please call me. My office is located at 6105 Snell Ave Su 101 San Jose 95123.

If you'd like to send them electronically, send them to my email .

Individual Therapy Forms

Please bring the Client Questionnaire, Informed Consent and the credit card form with you. The other two are for your records only.

Couples Therapy Forms

For couples, please fill out the Client Questionnaire separately, and the Informed Consent can be signed by both of you. The Social Media Policy and Privacy Policy are for your records only no need to print.

Online Therapy Forms

Alcohol Assessment

We may collect, use and process your data according to the terms of our Privacy Notice. Click here to review the Privacy Notice.