Appointment Request

To schedule an individual, children, couples, marriage or family therapy appointment or to obtain additional information about any of these counseling services, please fill out the form or give me a call (408) 430-3401

We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the practitioner.

By clicking send you agree that the phone number you provided may be used to contact you (including autodialed or pre-recorded calls). Consent is not a condition of purchase.

Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

Note: To download Adobe Acrobat Reader for free, click here.

 

Marriage & Family Therapist, MA, LMFT#93750

©2019 by Iris Cohen. web by nessy-design

Address

1000 Fremont Ave,#260-H
Los Altos, CA, 94024

Serving the area of Los Altos, Mountain View, Sunnyvale, Cupertino, Palo Alto, Santa Clara, San Jose, and Silicon Valley.

Contact

(408) 430-3401

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Iris Cohen psychology

Individual and Family Counseling