Client Forms

Client Forms

Galveston, Texas
Galveston, Texas

New Clients, please print off the Confidential Client Intake and fill out completely before first session. Fill out a separate copy of the Confidential Client Intake form for each family member attending therapy session. Thank you.

Notice of Privacy Practices
Please read over privacy practices at your convenience. Privacy practices are also posted in my office to make it easy for my clients to access at any time: Notice of Privacy Practices PDF

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Specialized Client Forms:

The following forms are separate from the intake process. The use of these is determined in later counseling sessions.

Beck Anxiety Inventory

Beck Depression Inventory

Release of Information

Dissociative Experiences Scale (DES) – Pre-EMDR screening tool

Revised Dyadic Adjustment Scale

Video Taping Release

Contact:
Questions? Please contact me at (832) 602-2938 or info@jenniferchristiancounseling.com for more information.

Photo ofJennifer Christian
Jennifer Christian
Jennifer Christian Counseling