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Forms will be completed on-line via TherapyPortal or during the first counseling session.  Your provider will coordinate the documentation with you.

The HIPAA Notice is found here for your information.

The No Surprise Act Info sheet 
is found here for your information.

To register a child  for counseling, the following documents are required (as applicable):

  • ​Current Judge signed Custody Agreement /Divorce Decree or a current copy of a court order. (Required by the Texas Behavioral Health Executive Counselor Rules for Licensed Professional Counselors.)

  • Consent for counseling by parent(s) or court appointed guardian

  • Other registration documents for counseling services to be rendered (e.g. insurance information, parent / guardian ID photo, etc.)

Dynamic Hope Counseling Services
6105 Denton Highway, Ste 80
Haltom City TX 76148

Phone: 817-654-5790
Secure Fax: 817-221-0588

English Language Website

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