Laura Elpers Pierce’s Forms :: Insights Therapy

Phone: 214.706.0508 | Fax: 469.729.3797
Address: 8140 Walnut Hill Lane, Suite 450, Dallas, TX 75231
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Providing Professional Counseling Services

Laura Elpers Pierce’s Forms

What are these forms?

  1. Adult Intake Form, Minor Intake Forms. These forms provide information about you or your child so Insights can craft therapy to be as effective and efficient as possible. Some questions are personal and may be sensitive or even uncomfortable. They are asked in an effort to quickly begin building a complete picture of who you or your child are, which in turn will save valuable therapy time. All client records are strictly confidential and will not be seen by anyone without your written permission unless required by law. If you have any questions, please discuss them with your therapist.
  2. Informed Consent to Treat form. This form details your rights and responsibilities as a client and consents for me to treat you or your child.

 Which forms should I use?

If you are an adult and are the new client, use these forms:

If your child is the new client, use these forms:

 What do I do with these forms?

Please print, complete and bring your Adult Intake Form or Minor Intake Form, Informed Consent to Treat, and (if your child is the new client) the Parent Therapy Support Agreement to your first session. That way, we will be able to begin your therapy at the start of the first appointment.

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