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Helpful Forms
If you are a first-time client, please complete the following forms and bring them to your first session. Or you can scan them and email to lesliecaffey@counselingmail.com If you have any questions, call 469-994-1075
- Adult Intake Form
- Informed Consent for Psychotherapy
​- Informed Consent for Minors
- Authorization for Use or Disclosure
- HIPPA Notice for Privacy
- Teen & Young Adult Intake Form
- Telemedicine & Telehealth
If you would like me to coordinate care with another provider (such as your Primary Care Physician) please complete these forms to authorize release of psychotherapy information:
NOTE: To download Adobe Acrobat Reader for free, click here.
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