Forms & Referrals
Request for Professional Services (Informed Consent)
Texas Notice of Privacy Procedures (NPP)
Child Self Assessment Form
(for children 17 and younger)*
Release of Information
Credit Card Authorization Form
List of Referrals
Therapist and Patient Agreement on Disability Forms
*A required form that must be filled out and signed prior to your session beginning.
**MUST READ PRIOR TO APPOINTMENT.
***A required form ONLY if you want your confidential information to be released to another person or entity.