Forms
Intake Form
Release of Information Form
HIPAA Information and Consent Form
ADHD Questionnaire
Insurance Opt-Out Agreement
No Show Policy
5444 Westheimer Rd Suite 1535, Houston, TX 77056 (Capital One Building)
(Located near Westheimer and Chimney Rock)
Call Us: 713-510-0024
Fax Us: (713) 405-2117
Email Us: HoustonPsych@yahoo.com