"Counseling for Children, Adolescents and Adults"

Patient Forms

To schedule an appointment, please complete the Release of Information form and Parent Release (if applicable), then select a counselor and click the link below their name to submit the online patient forms and review their policies.

New Patient Packet


Texas Offices:
The Colony, Colleyville & Roanoke:

Jodi Valentine, LPC
Click Here for Adult Form
Click Here for Minor Form

Shelley Jackson, PhD, LPC
Click Here for Adult Form
Click Here for Minor Form

Sharon Montcalm, LPC
Click Here for Adult Form
Click Here for Minor Form

Sandra Oswald, LPC, NCC
Click Here for Adult Form
Click Here for Minor Form

Sheila Soslow, LPC-S
Click Here for Adult Form
Click Here for Minor Form

Stephanie Walker, LCSW
Click Here for Adult Form
Click Here for Minor Form

 

 


Louisiana Offices:
Monroe & West Monroe

Leslie Richman, LPC
Click Here for Adult Form
Click Here for Minor Form

Andrea White, LPC
Click Here for Adult Form
Click Here for Minor Form

 

 


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