A Note About Client Forms
Once we have spoken and have a scheduled appointment, please print out the forms below and bring them with you to our first meeting.
- Client Information Form: please complete and sign
- Informed Consent: explains my therapeutic perspective, approach, and policies. Please read carefully, sign, and begin in with you.
- Address and Driving Directions: please call me if you have any questions or need assistance with directions.
- Communication Consent Form: you may just bring this with you. We will complete this together.
- Payment Consent Form: You may just bring this with you. We will complete this together.
- Notice of Privacy Practices Form: we are required by HIPAA to provide you with privacy practice policies and requirements. You do not need to print this 7-page form or bring it in, and are free to read and keep the form for your reference.
- Acknowledgment of Privacy Practices Form: please do bring this signed form, acknowledging that we have provided you with the “Notice of Privacy Practices” form.
Please call me at 512-350-8505 or email me if you have any questions about this or anything else. Thank you, and I look forward to working together!
- Client Information Form
- Consent for Communication
- Informed Consent Agreement
- Payment Agreement
- Notice of Privacy Practices – HTML / PDF
- Acknowledgement of Privacy Notice