Teenage Counselor
Teenage Counselor

Contact Counselor | Teenage /Adolescence Counselor

How to contact us?

Dr. Surender kumar Jindal

M.L. Memorial ClinicDeepak homoeo care
271, DDA Flats,
jaidev park,
punjabi bagh,
6-A/8, W.E.A.
Karol Bagh,
New Delhi-110005.
khetrapal nursing home
rajouri garden,
nr. shivaji college,
click here to see the fee structure

Therapy Forms:-

  • If you are new to us, you will need to complete some forms before arriving for your first session. These forms will take some time to complete but you have to choose atleast 1 and complete for proceedings.
    Adolescent/Teen Intake Form - This form will take time to complete.
  • If you are seeking family therapy, please complete:
    Family Intake Form
  • If you are seeking individual counseling, please print and complete:
    Client Information Form
    Individual Intake Form
  • If you are seeking couples counseling, please complete one (1):
    Client Information Form

  • click here to download all forms together (.zip file)
  • Dr. Surender Jindal - I am happy to answer any of your questions about these forms. Please e-mail or call me with concerns. These forms will be discussed during our first session, so please let me know if you are unable to complete them before your first session. If you do not have access to a printer, I have these forms available in my waiting room. Again, they will take time to complete.

    Email: Dr.lifesolutions001@gmail.com,
    Phone: 0-9213-715-681


    Home Counseling also available within north west zone (DELHI)

    Disclaimer/ Privacy Policy:

    All Conversation Between The counselor and the visitor will and should be kept as a secret and however, must not be disclosed anywhere. The consultation has to be done free minded and with no hesitation.

    "making life easier and simple to live and laugh"