Make an Appointment: | (713) 893-0506

Client Forms

If you are new, please feel free to fill out these intake forms before our first session. To maximize your time during the first session, please complete the forms ahead, and bring the completed forms with you to the first session.

Client Intake Form

Information Sheet

Limits of Confidentiality

If you feel that you would like me to collaborate your session with another provider, simply fill out the following form.

Authorization for Release of Information



3939 Essex Ln
Houston, TX 77027


(713) 893-0506

Got Questions?
Send a Message!