Pre-Session Forms

Please print and complete the following forms and bring these to your first therapy session.

• Client Information and Consent
• Personal History Form
• Client Fee Agreement

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

• Authorization to Disclose Information

Note: To download Adobe Acrobat Reader for free, click here .

For more information or questions about the forms, contact me by texting 817-739-2421 ,
calling 817-739-2421 , or emailing [email protected] .