Forms

 

If you are a new client and would like to utilize our 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.

 

You may contact Eric Luongo for his forms.

 

 

 

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

 

Adult Intake

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.

 

 

Client Rights & Respons.
Cancellation Agreement
PHI/HIPAA

 

 

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

 

Adolescent Intake
Consent to Treat Minor
Rights & Respons.
Cancellation Agreement
PHI/HIPAA

 

Email us here if you are not finding a time open that works for your schedule, and we will let you know what we get open. 

Give us a couple of times that would work for you.

  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 Auth.
Daehnert Counseling LLP
2730 Country Club Rd E4
Allen, TX 75002
Phone: 214 509.7149 214 509.7149
Fax: 972 833.1606
E-mail Address:

Offering Individual, Couples, Marriage, and Family Counseling in Dallas/Collin County, TX (Allen, Lucas, Fairview, Wylie, Frisco, McKinney, Plano, and Richardson).


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