Click on any of the below links to open your desired form(s) in a new window. For your convenience, you may fill these forms electronically or print them out and complete them by hand. Subsequently, please return your form(s) to our office in person, via fax (214-481-2851), or by e-mailng them to info@therapydallas.com.

For Children/Adolescents:
General Information Form (writeable PDF)
Authorization to Release Information (writeable PDF)
E-mail Authorization (writeable PDF)
HIPAA - Privacy Notice (PDF)

For Adults:
General Information Form (writeable PDF)
Authorization to Release Information (writeable PDF)
E-mail Authorization (writeable PDF)
HIPAA - Privacy Notice (PDF)