Client Forms

 

New Clients

All new clients must complete intake paperwork prior to their first appointment. Please bring the completed paperwork with you, along with your photo ID and insurance card.

Adult Assessment Paperwork

Adolescent Assessment Paperwork

Family Therapy Paperwork

Couples Assessment Paperwork

If you are unable to complete your paperwork beforehand, or would prefer to fill it out in our office, please arrive 30 minutes early before your scheduled appointment time. In order to give all scheduled clients the proper time they deserve, it is possible your appointment will be rescheduled if the paperwork is not completed prior to your appointment time.

**For adolescent clients – If your child is subject to a custody court order, the parent/guardian that has the legal exclusive right to consent to psychological and psychiatric care of the child must either be present or provide written consent that this child is allowed take part in the assessment. If the legal right to do so is subject to the agreement of the other parent, both parents must either be present or those not in attendance must provide a written statement of consent. Please see the consent form below.

Non- Parent/Guardian Authorization for Consent for Psychological Assessment & Treatment

If you have any questions, or would like to reschedule your appointment, please feel free to give us a call.

Phone (512) 306-1394 

Fax (512) 306-1603

 

Additional Documents

Release of Information

Adolescent Release of Information

Release of Information Revocation Form

Printable Directions

Credit Card Authorization Form