If you're a first-time client, please review and complete the following forms, bring them to your first session.
- General Intake form to be completed by any patient or parent of a patient (couples complete one each)
- If the patient is an adult then complete the adult symptom questionairre
- If the patient is a child/teen then complete the child symptom questionairre and a Good Behavior Report Card for children only (I will explain its use at the first appointment)
- If Attention Deficit Disorder is suspected then complete the ADD/ADHD questionairre (print 2, for children - one for the teacher and one for the parents, or for adults - one for the patient to complete and one for a significant other or friend to complete about you)
- If Depression or Anxiety problems are suspected then complete the anxiety/depressionairre
- To obtain records from your doctor or previous therapist please print and complete a "Permission to Release Records"
- Sliding Scale Application - please complete and mail to P.O. Box 2084, Whitney, TX 76692
Note: To download Adobe Acrobat Reader for free, click here.