Client Forms

New Clients:

Welcome! Please download and complete the required forms listed below and bring them with you to expedite your first visit. You may also fax the forms prior to your appointment to: 713-630-0821; confidentiality of this information will be protected.

Personal Counseling Forms:

Counseling Intake Form

PDF MS Word

Consent for Counseling Services

PDF MS Word

Payment Contract for Services

PDF MS Word

Release of Information (optional)

PDF MS Word

Career Counseling ONLY Forms:

Instructions for Completing Vocational Assessments – if you are interested in career testing

***Please complete assessments online 24 hours PRIOR to your scheduled appointment or your results may not be available during your appointment time.***

PDF MS Word

Career Counseling Intake Form

PDF MS Word

Consent for Career Counseling Services

PDF MS Word

Payment Contract for Career Services

PDF MS Word

Client Rights (PDF download)

Appointments:

Please give 24 hours advance notice if you cannot keep your appointment to avoid a $60 no-show/cancellation fee.

I   offer online scheduling using BookFresh