If you're a new client, please complete the following forms and bring them to your first therapy session.
- Client Registration Form
- Texas Protected Health Notification Form (You do not have to bring this to your appointment.)
- Informed Consent for Service Form
- HIPAA Acknowledgement Form
- Adult Intake Form
- Smith Behavioral Health Telehealth Informed Consent
Office Location:
My office address is 6060 North Central Expressway Suite 200. As you drive North on the service road from the intersection of Mockingbird Lane and Central Expressway, proceed for about ¼ of a mile and then turn right on Twin Sixties Drive. My office building is on the left. There is a sign on the side of the building that says “Lucid Private Offices.” You may park in the surface lot if you can find a spot that says “1 hour parking.” If the lot is full, then you have to park in the parking garage attached to the building with the “Neurology Office” sign on the corner of the building. Head toward that building, turn left, and follow the parking garage sign. You will turn right into the parking garage. The “arm” will raise up when you enter. After you park in any spot that does not say “Reserved,” please go to the 2nd floor of 6060 North Central Expressway to Suite 200 and have a seat in the lobby. I will come and get you when it is your appointment time.
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Note: To download Adobe Acrobat Reader for free, click here .