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We appreciate having the opportunity
to serve you. For your convenience, you will find below a number of forms
which you may print off and complete in advance of your visit to our
office.
Office appointments are
available with professional
staff Monday through Friday. Appointments may be scheduled during
both daytime and evening hours Monday through Thursday. Availability of
various staff members for particular times or days of the the week
vary. Please call our office manager for additional information
about scheduling and necessary information.
If you wish to expedite the
intake process, you may access below the necessary forms which must be
completed before your first session. All new patients must read and sign
the Office Policies and Procedures form as well as the acknowledgment
page of the privacy notice. Adult patients complete
the Adult Patient Registration package. Parents scheduling
children complete Consent for Treatment of Minor Child and Child Patient
Registration form.
Upon completion of the forms, you may
either send them by fax transmission to our office (972.664.O381), by U.S. mail, or bring
them with you at the time of your first appointment. Please contact
our office and schedule your first appointment before sending completed
forms to us.
Office Policies and Procedures (Required)
Privacy Notice with Acknowledgement (Required)
Adult Patient Registration and History Forms
Child Patient Registration and History Forms
Consent for Treatment of a
Minor Child (Required for Therapy of Child)
Authorization and Consent for Release of
Records/Information FROM Professional Psychological Services
to another individual or organization
Authorization and Consent for Release of
Records/Information from another individual or organization TO
Professional Psychological Services
Adobe Acrobat Reader is
required to view the above files.
You may download a free software copy of Acrobat Reader 5
by clicking on the Adobe logo below.
Click here for appointment!
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