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Counseling Services

Individual
Couples & Family
Relationship Issues
Grief and Loss
Anxiety and Fears
Depression
Personal Growth
Parenting Support
Stress Management

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Helpful Forms

In order to prepare for your consultation, please select the proper intake form to complete and bring with you for your scheduled appointment. It is recommended you complete the intake form online, save then print and bring with you to your appointment.

 

 

If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician, your child's school etc.), please complete this form to authorize release of your specified confidential information. You may fax this release form to us at 210-490-8843 or bring it to your therapist during your next office visit.

 

Your mental health record is accessible to you upon request. If you request a superbill (summary of receipts) or a copy of your records, there is a $45 administrative charge for the first 20 pages and $1 per page thereafter. This does not include postage and handling. You will be given receipt after each session or payment for your records. When a request is made directly from a government agency or official, there is NO charge.

Please complete this form to authorize release of your specified confidential information. You may fax this release form to us at 210-490-8843 or bring it to your therapist during your next office visit.


Note: To download Adobe Acrobat Reader for free, click here.

 

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Helpful Forms

Click here to view and print forms for your appointment.

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