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Counseling Services for
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Marriage and Relationships,
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Adult, Adolescent, and Children
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Special Group Counseling
Please call Christina for an appointment: 817-654-5790
Christina G Smith ,M.A, LPC-S, RPT
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.
To register a child for counseling, the following documents are required (as applicable):
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Current Judge signed Custody Agreement and applicable pages of Divorce Decree or a current copy of a court order. (Required by the Texas Behavioral Health Executive Counselor Rules for Licensed Professional Counselors.)
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Consent for counseling by parent(s) or court appointed guardian
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Other registration documents for counseling services to be rendered (e.g. insurance information, parent / guardian ID photo, etc.)
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