Forms & Fees

REGULAR SESSION: $125

$125.00 for 50-minute session, unlimited access to couples tools, and at least 2 hours/week of at-home exercises. 

 

The same rate applies for Couples, Individual, and Family sessions.

INITIAL SESSION FOR COUPLES & FAMILIES: $250

For COUPLES and FAMILIES, the first meeting is a double-length session of 100 minutes – 50 minutes to set initial goals and another 50 introduce a tool or exercise to begin your growth process.

Forms

Please download the forms, fill them out and bring them with you to the first session.

 

If you are unable to do so, please arrive at the first session 15 minutes early to complete the forms. I will have them on a clipboard in the waiting area.

Basic ​Intake Form - (If couples therapy, one form per couple. If individual or family therapy, ignore Spouse/Partner column)
 

Supplemental Couples Intake Form - (ONLY for couples. Each partner should fill out a separate form.)
 

Consent to Release Confidential Information - (OPTIONAL) - If you would like me to consult with your individual therapist, please complete this form.

          crc.rosariopuga@gmail.com

 

 

          408-768-5300

 

 

         3880 South Bascom Ave. Ste.111

         San Jose, CA 95124

 

If you are in crisis, call the National Suicide Prevention Lifeline, a free, 24-hour hotline at 1.800.273.8255.  If your issue is an emergency, call 911 or go to your nearest emergency room.  Rosario A. Puga-Dempsey does not offer crisis counseling or emergency services.

 

Rosario A. Puga-Dempsey is a Marriage and Family Therapist Associate AMFT 117320 at Couples Recovery Center and is supervised by Dr. Harry Motro. Dr. Harry Motro, Marriage Counselor, is an employee of Harry Motro, Psy.D., Marriage and Family Therapist, P.C., which is a Professional Corporation. He is Licensed as a Marriage Family Therapist MFC 53452 and authorized to act as a Psychotherapist providing Psychotherapy. He specializes in Couples Counseling.  

Couples Recovery Center provides specialized couples counseling and includes the following professionals:​ Bassy Lee, MA, Associate Registration Applicant - www.bassylee.comKate Meek, MA, AMFT #117725, APCC#7649, https://kmeektherapy.wixsite.com/couples. Harry Motro, PsyD, LMFT #53452, www.harrymotro.com

Couples Recovery Center is located at 3880 South Bascom Drive, Suite 111 San Jose, CA 95124.

The recommendations on this website do not constitute professional advice, substitute for professional treatment, or establish a therapeutic relationship.