Katy Counseling Resources

Forms Required for All New Clients:

Consent for Services Form

Client Information Form

Notice of Privacy Practices

Payment Authorization Form

Client History Form

Formularios en Español

Formulario de Contacto de Clientes

Acuerdo de Tarifas

Aviso de Prácticas Privadas

Formulario de Historial del Cliente

Formulario de Authorización de Pago

Acuerdo para familias involucradas en la corte

LENS Forms

LENS Consent Form

LENS Sensitivity Questionnaire

LENS Symptom Questionnaire

LENS Top 10 (For follow up sessions)

LENS Symptoms Tracking (Please enter your email address to start)

Special Forms

Authorization to Release Protected Health Information

Agreement for Court Involved Families

Records Requests

Please contact us in writing with a request for your records. Records will be uploaded to your patient portal within 15 business days or available for pick up in office subject to the records fee policy.