Prior to scheduling your first appointment, we will need your insurance information. We will do our best to verify your benefits, but it is also your responsibility to know what your insurance will cover. If your insurance denies payment for the services you receive, then you are responsible for the full fee. Please call the office with your insurance information 936-760-1880.
If you're a new client, please complete the following forms and bring them to your first therapy session.
Adult Psychotherapy Intake Form
Child Care Services are NOT provided. Please bring a responsible party to assist you with child care.
These forms are for your records and are included in the packets you have completed above.
The law protects the relationship between a client and a psychotherapist, and information cannot be disclosed without written permission.
If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Suspected child abuse or dependant adult or elder abuse, for which we are required by law to report this to the appropriate authorities immediately.
If a client is threatening serious bodily harm to another person/s, we must notify the police and inform the intended victim.
If a client intends to harm himself or herself, we will make every effort to enlist their cooperation in ensuring their safety. If they do not cooperate, we will take further measures without their permission that are provided to us by law in order to ensure their safety.
Please see the Parent Facilitation page to obtain the proper paperwork and instructions.
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