Forms & Referrals

New Client Forms:

Click here for the Telemental Health Consent Form. After reading this form, please fill out and submit the form below to give consent electronically.

Client Information & Signature Page (Required)

2024 Request for Professional Services (must read only)

Texas Notice of Privacy Procedures (must read only)

Child Self-Assessment Form (for children 17 & under)

Other Forms:

Release of Information Form (only required if you want to release confidential information to another person or entity)

Credit Card Authorization Form (only if you want to leave a credit card on file)

Therapist and Patient Disability Agreement Form

Yoga & Mindfulness Group Forms