Anchor Psychology, Inc.
  • Home
  • About Us
    • Janelle Bull, M.A, LMFT
    • Jamie Williams, M.A, LMFT
    • Evagelia ("Evelin") Stamatis, M.A, LMFT
    • Shana McLean Moore, Life Balance Consultant
    • Andrew Maldonado, M.S, LMFT
    • Dave King, M.A, LMFT
    • Eriko Timbers, M.A, LMFT, PMH-C
    • Kelly Perey, Career Coach
    • Brad Jones, M.A, LCSW
    • Madison Ledda-Simmons, M.A, AMFT
  • Blog
  • Our Offices
  • Contact Us
  • New Client Forms
  • Resources

New Client Forms

 If you are a new client, please fill out these forms and bring to your first appointment.

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Adult Intake Forms
File Size: 303 kb
File Type: pdf
Download File

Minor Intake Forms
File Size: 266 kb
File Type: pdf
Download File

Telehealth Consent Form
File Size: 88 kb
File Type: pdf
Download File

Consent for Couples
File Size: 2419 kb
File Type: pdf
Download File

Notice: Your Right to a Good Faith Estimate



Let us help you anchor your soul. 


1975 Hamilton Avenue
Suites 11 & 37
San Jose, CA 95125

Take a virtual tour of our San Jose offices!


We now have practitioners providing telemental health services based in Los Angeles, CA.
main: 408.340.5875
fax: 408.340.5875
email: ​anchorpsychmft@gmail.com

​Open Monday - Friday, 8:00am - 8:00pm

  • Home
  • About Us
    • Janelle Bull, M.A, LMFT
    • Jamie Williams, M.A, LMFT
    • Evagelia ("Evelin") Stamatis, M.A, LMFT
    • Shana McLean Moore, Life Balance Consultant
    • Andrew Maldonado, M.S, LMFT
    • Dave King, M.A, LMFT
    • Eriko Timbers, M.A, LMFT, PMH-C
    • Kelly Perey, Career Coach
    • Brad Jones, M.A, LCSW
    • Madison Ledda-Simmons, M.A, AMFT
  • Blog
  • Our Offices
  • Contact Us
  • New Client Forms
  • Resources