Hello,
Prior to starting therapy, there are some forms that need to be filled out. Please continue reading to see which forms you will need to fill out and return to me. Thank you and I look forward to joining you on your path to healing!
- Please click the above link for my professional disclosure. All clients are required to have a signed copy of my professional disclosure. You will need to sign it and give a copy to me. I will sign it and will give you a copy with both of our signatures on the form. If the client is a minor, the parent/guardian will need to fill this out and I will discuss it with the child and receive their developmentally appropriate consent.
- Please click the above link for the teletherapy consent form. Only clients who are interested in teletherapy via VSee, a HIPPA approved online video therapy service, need to sign this form.
- Please click the above link for the adult intake packet. All adult clients are required to fill out the entire adult intake packet.
- Please click the above link for the child intake packet. All minor clients are required to have a child intake packet filled out by their parent/guardian. In the state of Texas, a minor is everybody under the age of 18.
Payment and Cancellation Policy
- Please click the above link for my payment and cancellation policy. Make sure to read this carefully, and sign the form. All clients are required to have this form signed prior to the first session.
- As a licensed professional counselor – intern, I do not accept insurance. I work at my supervisor’s private practice, and all payments will be made directly to the practice via PayPal.
After filling out the required forms, you can either print them out and give them to me in hand at the day and time of our first session, or you can send the completed and signed documents to me (CounselorTNLee@outlook.com) via a password protected PDF document. Click here for instructions on how to password protect the document.