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Due to the HIPAA (Client Privacy) regulations, your medical information cannot be sent to us online. Just download, fill out, and bring them with you.

Adobe Acrobat Reader Required (PDF): Download Adobe Acrobat

 

Click on the desired forms.

                                           For adults seeking individual therapy:
                                                 1.) Patient Information
                                                 2.) Adult Questionnaire

                                            For adults seeking couples therapy:
                                                  
1.) Patient Information
                                                   2.) Adult Questionnaire
                                                   3.) Consent to Couples Therapy

                                            For adolescent therapy: (12-18 years)
                                                  
1.) Patient Information
                                                   2.) Adolescent Questionnaire
                                                   3.) Parent of Adolescent Questionnaire

                                            For child therapy: (under 12 years)
                                                  
1.) Patient Information
                                                   2.) Parent of Child Questionnaire

 
 

            

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Cedar Creek Associates Independent Practitioners of Mental Health
631 Mill Street, Suite 101, San Marcos, TX 78666
Phone: (512) 396-8540
Fax: (512) 396-5680