Vicki Ray, MBA, MA, LPC

Professional Counseling Services
512-663-6368

Forms for New Clients

If you are a new client, please print and fill out these forms to bring with you for your first appointment.  This will allow us to spend more time talking and less time on paperwork the first time we meet.

Forms:

Informed Consent Form - please print and sign TWO copies of this form (you keep one copy and I keep one copy)

Client Information Form - this asks for history about the client

HIPAA Compliance 

Insurance Information Form - please fill this out only if you plan to use insurance