Client Forms

You may print and fill out the Client Information and Informed Consent forms for your respective therapist and bring them to your first appointment, or arrive early to fill them out in our waiting room. Paperwork for Katie and Miranda will be emailed to you or available on-site at your first appointment. You may review the state-mandated HIPAA Privacy Notification below, or the one we provide you with at our office. Your signature on the Informed Consent form indicates you have been provided with this Privacy Notification.

—  JOHN’S PAPERWORK —

For Couples:

Couples Client Information Form

Couples Informed Consent Form

For Individuals:

Individual Client Information Form

Individual Informed Consent Form

— PETER and LEAH’s PAPERWORK —

Client Information Form (Couples & Individuals)

Client Informed Consent Form

— HIPAA —

State of Texas Privacy Notification

Emergencies:

If you are currently in crisis or if your situation is an emergency, please call 911 or the Austin Integral Care Crisis Hotline at 512-472-HELP (4357). The hotline is staffed by licensed counselors 24/7. Callers receive “immediate assessments, crisis intervention services if needed and referral to additional community resources. If the caller is in imminent danger, a staff member will contact 911.”

It is important to know that our practice is focused on long-term support of life goals and is not set up to respond to any immediate crisis or immediate need for appointments. Sessions are often booked weeks or more in advance and it may not be possible for us to see you outside of those scheduled sessions. Therefore if you are an existing or prospective client and in crisis or in any type of emergency, please call 911 or the mental health hotline mentioned above.If you are a client of John’s, his Associate therapists typically have availability to see you on short notice should you need such support.