Forms

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For COUPLES Therapy

Please print, fill out, & bring to your initial appointment the following:

Intake Form – Couple (print one per person)
Client Information & Informed Consent Form (print one per couple)
Privacy Practice Notice (print one per couple)

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For INDIVIDUAL Therapy

Please print, fill out, & bring to your initial appointment the following:

Intake Form – Adult Individual
Client Information & Informed Consent Form
Privacy Practice Notice

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Compassionate professional counseling for couples, marriage, individuals, & families in the Dallas metroplex.

Charlotte Hilber, MA LMFT
Individual, Couples, Family Therapist
6750 Hillcrest Plaza Dr, Suite 304
Dallas, TX 75230

214-498-8067