For your first counseling session in San Jose.

Below are my counseling forms for you to sign before our first appointment. 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 mft@counselingrecovery.com.

Right now all of my counseling sessions are being done online due the COVID-19. Please scan them back (except for the Social Media Policy and the Privacy Policy which are for you to read).

• Informed Consent

• Client Questionnaire

• Social Media Policy (read only)

• Privacy Notice (read only)

• Credit card form (fill it out except the numbers)

Alcohol and Substance Abuse Assessments

• Client Questionnaire

• Informed Consent

• Social Media

• Notice of Privacy Policies

• Credit card form

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