In order to save time, please print out and complete these forms prior to your first appointment.  Thank you.

  1.  Adult Intake Form
  2.  Child Intake Form
  3.  Office Policies Form
  4.  Authorization to Release Information
  5.  Child Information Questionnaire
  6.  Health and Medical Questionnaire​  
  7.  Telemedicine Informed Consent

Child and Family Counseling Group
3880 S. Bascom Avenue, #115 .. San Jose, CA 95124
(408) 351-1044