Client Forms

If you are new, please feel free to fill out these intake forms before our first session. It is through a portal that will provide consents for intake process to go easily and online counseling for convenience. 

https://dale-komoda.clientsecure.me

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

 

Contact Today



1221 Kapiolani Blvd., Suite 248
Honolulu, HI 96814

dalekomoda@icloud.com
1-314-451-1588

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