The forms listed below are for new individual and couple clients. The Texas Notice form outlines
my privacy practices and is for you to keep. Please print a copy for your records. Please be sure to bring the following completed
forms with you to our first session:
- Consent to Treatment
- Client Information*
- Payment Agreement**
*For couples, both individuals will need to complete.
**You agree to pay fees at the time of service;
will call to cancel if unable to attend a scheduled appointment.
I look forward to seeing you at our first appointment. Should you have any questions about these forms please call me at
638-3555.
