Patient Forms

Online Patient Forms

Save time during your initial visit to my office by printing and filling out the appropriate new patient form below. If you are unsure about any section of the form or have questions about the information required, please feel free to call my office and I’ll be happy to help:

• Forms Packet for Individuals
• Forms Packet for Couples
• Forms Packet for Children & Adolescents

Optional Forms

• HIPAA Release Form
• Credit Card Authorization Form

Call My Office, or Schedule an Appointment Online

My specialty is helping couples, families, step-families, children, teens, and individuals resolve the complications within that hinder the growth of their relationships. Please know that, throughout your counseling, you are the leader and I am your resource. I want you to take full responsibility for what you want to change and work at a pace that is truly your own. If you’d like to set an appointment, call my office in Trophy Club, TX, today at 817-729-7807, or select a service by visiting our online appointment scheduler.