Intake Forms and Privacy information

Prior to coming in for your first session, please print, review, and complete these Intake, Informed Consent, and HIPAA Privacy notice forms. Feel free to print other forms if you believe they may be needed. I have copies of these at my office, but if you fill them out before coming in, this will give us more time to talk.

These are in PDF format. Please Contact Jonathan (using the contact form, email, or call 512-771-7621) if you have trouble viewing or printing.

Counseling and Therapy Forms

Intake Form Here

Informed Consent Form Here

HIPAA Form Here

Authorization to Release Confidential Information Here

Parental Consent Form Here

Contact us to Schedule an Appointment for Counseling or Therapy. . .