Forms




		Check out our latest Marriage Ministry

	<MOBILE WEBSITE>




		FORMS

If you are a new client and would like to utilize my services, you will need to download each of the following links below. Just click on folder below each title and you will be directed to a form(s) which you will need to print off, fill out, and bring with you to first session (or upload them to us in the “New Client Form” button below). If you are unable to get this done prior to initial session, please come at least 10-15 minutes prior to scheduled time so you'll have time to fill out paperwork


	For adults 18 and over, please download following Adobe files: (Get Adobe Reader)


		Adult Intake

	Rights and Responsibilities


	*For marriage/couples counseling, both parties need to fill out an adult intake. Also need signature from both on Rights and Responsibilities Form.* * Click here to learn about a great assessment tool we utilize with couples. Then let me know if you are interested in taking it.


	Cancellation Agreement


	For adolescents ages 14 and over, parents, please download following Adobe files (have child fill out Adolescent Intake):


	Adolescent Intake

Adult’s Consent to treat minor

		Rights and Responsibilities PARENTS SIGN & DATE

			Cancellation Agreement


	Questionnaires


	These surveys will give your counselor an overall view of where you are struggling most before your first session.


	Marriage


	Individual


	Please complete new client form below if you have not already done so.


		Waiting List


	Office Map


	Remember to print your map to our office here


	Other Forms to Download if Needed


	For release of confidential information to a third party, please download following form and return to Daehnert Counseling LLP


	Release Authorization


	...providing all of the North Dallas area Christian individual counseling, marriage counseling, and family counseling for the local communities of Allen, Carrollton, Frisco, Plano, Wylie, Sachse, Richardson, Dallas, McKinney, Sherman, Denton, Rowlett, Rockwall, surrounding areas, *as well as nationwide now. Also make referrals to psychiatrists in Allen, Plano and McKinney, TX*


		Daehnert Counseling LLP 101 W. McDermott Allen, TX. 75013 office: 214.495.0008 email: todd@dcllp.us

	©2005-2012 by Daehnert Counseling LLP Some images provided from Google

Professional Counseling Allen TX, McKinney TX, Frisco, TX & Plano TX.
Individual (adolescents and above) Counseling, Marriage Counseling, & Group Counseling offered.

eCOUNSELING
on-line counseling