Harmony Counseling Services

1125 Legacy Drive, Suite 320

Frisco, Texas 75034

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Client Forms

 

After you have scheduled your first appointment with Kimberly, please print, read and completely fill out the following forms. Review the information on these form carefully and bring the forms to your first session. You will have the opportunity to ask questions before signing these documents.

 

***Couples, please complete two sets of the first form.

 

Clinical Information Form

 

Informed Consent Form

Couple Therapy Policy and Informed Consen(please print and complete for couple therapy)

 

Credit Card Authorization forms

 

Policy on Federal Requirements Regarding Confidentiality (HIPAA) (Please only return the signature page on this form only).

 

If you have any questions, just give me a call. I look forward to being of service to  you!

Congratulations on getting scheduled for your first appointment! I look forward to meeting you.