Counseling Forms

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!

Professional Disclosure

  • THIS FORM MUST BE FILLED OUT THROUGH YOUR CLIENT PORTAL. A COPY FOR YOU TO VIEW IS PROVIDED VIA THE ABOVE LINK.
  • Please click the above link for my professional disclosure. All clients are required to have a signed copy of my professional disclosure. 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/assent.

Telethealth Consent Form

  • THIS FORM MUST BE FILLED OUT THROUGH YOUR CLIENT PORTAL. A COPY FOR YOU TO VIEW IS PROVIDED VIA THE ABOVE LINK.
  • Please click the above link for the teletherapy consent form. Only clients who are interested in telehealth via a HIPAA approved online video therapy service, need to sign this form. Signing this form doesn’t mean you absolutely want to have online sessions, but if you ever think you would, it would be a good idea to go ahead and sign it.

Adult Intake Packet

  • THIS FORM MUST BE FILLED OUT THROUGH YOUR CLIENT PORTAL. A COPY FOR YOU TO VIEW IS PROVIDED VIA THE ABOVE LINK.
  • Please click the above link for the adult intake packet. All adult clients are required to fill out the entire adult intake packet.

Child 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

  • THIS FORM MUST BE FILLED OUT THROUGH YOUR CLIENT PORTAL. A COPY FOR YOU TO VIEW IS PROVIDED VIA THE ABOVE LINK.
  • 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.

The child intake packet is not available via the client portal yet, so you can either print it out and give it to me in hand at the day and time of our first session, or you can send the completed and signed documents to me (Tasha@CounselingByTasha.com) via a password protected PDF document. Click here for instructions on how to password protect the document.