Forms

Below, I have added links to the form I require for sessions. There are PDF and Word Doc formats available, in hopes that everyone will be able to open at least one version. In addition, I have added my Release of Information form.

I encourage you to read the forms before the initial session, whether you bring a filled out copy to the session or not.

Important information: I am currently credentialed and able to accept insurance from Blue Cross/Blue Shield of Texas, Cigna, United, Beacon/Value Options, Magellan, and Superior.

If there are any questions, please use my Contact Page to reach out to me.

 

Intake Form
PDF
Word Doc

 

Release of Information Form
PDF
Word Doc