Forms
If you are a new client to Daehnert Counseling 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 after you've scanned them into your computer). 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.
-> If you would like to utilize a free online software program that allows you to fill in the following PDF files online and avoid needing to handwrite your responses as well as scan files back to me, head to the following free PDFescape website. Then use form below for Instructions on how to use.
Instructions for PDF File
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 12 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
If you are not apart of DCLLP Concierge Services, you may click on the icon to the left to access our Schedule Request Form.
Schedule Request Form
If you are trying to set up an appointment with Todd Daehnert and do not see any available times that you need for that week, please click on the waiting list icon. I will place you on a
waiting list on a first-come-first-serve basis and will text or email you when something comes open.
I can usually get you in without a problem within a few days at the latest as I may have a cancellation at a time you desire. Please do not assume you can’t set up an appointment if you
want to see me at a particular time, especially if you were recommended by someone to see me for the first time.
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.
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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