Forms & Documentation

Here you will find all of the documentation and forms that might be required for therapy. Click on the picture, and the form will begin downloading for you.

 

INTAKE PACKET

Intake Packet

Click on the image above to download my Intake Packet. This packet contains an explanation on the services provided. It goes into detail on payment options, length of time, and overall what to expect. Within this packet is the Informed ConsentCancellation Policy, my Credentials and my overall scope for what to attain in therapy. Legally, this packet must be read over and signed before therapy is to begin.

COMMUNITY REFERRALS & RESOURCES

Community & Crisis Resources

Click on the image above to download a list of Community Referrals and Resources in the Austin area. This PDF file is all of the known resources that I am aware of. If you or someone you is in a crisis, please call 911 immediately.

GUEST FORM

Guest Form

If you and I are engaging in individual counseling, but you wish to bring a partner, or family member in for a session-- this is the paperwork for you. 

 

HIPAA

 

Form

 

HIPAA Form

Laws are in place to protect your privacy. The Health Insurance Portability and Accountability Act (HIPAA) contains a privacy rule that creates national standards to protect individuals' medical records and personal health information, including information about psychotherapy and mental health.