Forms

Intake Forms

We know that your time is valuable. In an effort to make your visit to our office as convenient as possible, we recommend that you download and complete the proper forms prior to your visit.

• General Intake Forms
• Weight Management
• Problem Drinking
• Drug Abuse
• Nicotine Cessation
• Impulse Control

Clinical Forms

General Issues - e.g., depression, anger, relationship problems

• Mood Screen
• General Feedback Form
• Personal Experiment Data Sheet
• Intentions and Actions

Relapse Prevention Issues - e;g., alcohol, food, gambling

• Relapse Prevention Feedback Form
• Treatment Plan
• Review of History

Self Tests

• Trap Detector- Evaluate your weaknesses
• Appetite Evaluation- Food & self-management
• UNCOPE- Substance Use
• Audit- Substance Use

Additional Office Forms

• Texas Notice Form
• Therapist-Client Collaboration Agreement
• Consent for Treatment
• Request for Fee Reduction

The Inter-Session Interval

Click here to explore tools to be used between sessions. You may sample them on your own, or discuss with your therapist.