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Forms

If you’re a new client, complete the following forms and bring them to your first session.

Client Paperwork

Counseling Intake Form (either Individual or Family)

Comprehensive Assessment Form

Relationship Assessment Form

Consent Release Form

Authorization for Release of Confidential Information Form

Confidentiality & Cancellation Policy

Telehealth Services Consent

Contact Information

  • Irving, TX
  • (469) 759-3777
  • sandra@centrapeutic.com
  • Mon & Wed 10:00 pm – 7:00 pm
  • Sat 9:00 am -12:00 pm

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Privacy

Please review HIPPA privacy practices requirements.

Links & Resources

Please click HERE for additional mental health information and resources.

Important

In case of emergency, please call 911 or go to your nearest emergency room.

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National Suicide Prevention Lifeline 1-800-273-8255