Please choose the link below that best fits your circumstances (either adult or parent seeking treatment for a minor). Print and complete the set of forms to the best of your knowledge and make sure to bring them in when we meet in person.
Informed Consent Form
Informed Consent (minor)
Exchange of Information
Exchange of Information (minor)
Sasha Esposito San Roman, MA, MFT
Couples, Family, Individual Adult & Teen Therapy
Licensed Marriage & Family Therapist
I offer in person visits (when possible) as well as virtual appointments.
408-348-3896 cell - (
Please text only)
All Photographs and Content Copyright 2020 Sasha Esposito San Roman -- -- Site Design by
Camille Esposito Art & Design