New Client Forms

PLEASE FOLLOWING THESE INSTRUCTIONS CAREFULLY. Otherwise, your appointment may need to be rescheduled!

  1. Before your first appointment, please complete the Client Intake Form and the Adult or Adolescent Questionnaire (under age 18) below, as applicable.
  2. Please remember to BRING ALL COMPLETED PAPERWORK TO YOUR FIRST APPOINTMENT.

  3. For teletherapy clients (therapy via video conference or telephone), please email me the completed paperwork at least 24 HOURS before your first appointment. Please be sure to PASSWORD PROTECT them and then text me the password(s) at 713-492-5420. Please include your appointment date and time in your text and sign the text with your initials only.

  4. PLEASE NOTE: HIPAA law prohibits me from treating you without a fully-completed Client Intake Form.

NOTE TO COUPLES: Each of you must complete BOTH the Client Intake Form and Adult Questionnaire.

Client Intake Form

This PDF allows you to print it out and fill it in by hand. Please complete this form and bring it to your first session.

Client Intake Form (electronic version)

This PDF allows you to fill it out electronically. Please complete this form, save it and then email it to me before your first session. Remember to password protect it!

Adult Questionnaire

This PDF allows you to print it out and fill it in by hand. Please complete this form and bring it to your first session.

Adult Questionnaire (electronic version)

This PDF allows you to fill it out electronically. Please complete this form, save it, and then email it to me before your first session. Remember to password protect it!

Adolescent Questionnaire

This PDF allows you to print it out and fill it in by hand. Please complete this form and bring it to your first session. 

​© 2020 by P. Troy Gremillion