If you're a new client, please complete the Intake and Informed Consent Forms and bring them to your first therapy session. For your convenience, you may fill out the Intake Form from the screen and print. You may also print a blank form to be completed by hand if you prefer. The HIPAA Texas Notice Form is provided for your convenience but does not need to be printed unless you wish to have a copy for your records.
- Client Psychotherapy Intake Form
- Informed Consent/Therapy Appointment Cancellation Policy
- HIPAA Texas Notice Form
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
If you are requesting marriage or couples counseling, please print out a copy of the Marriage/Couples Counseling Intake Form in addition to the above Informed Consent for each individual and bring to your first appointment. I will need a signed Informed Consent as well as an Intake Form for each individual.
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