Adult Forms:

• Adult - Intake Form - Katherine Esquivel, LPC

• Adult - Patient Services Form - Katherine Esquivel, LPC

• Adult - Consent to Treatment Form - Katherine Esquivel, LPC

• Adult HIPAA - Texas Notice Form - Katherine Esquivel, LPC 

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Child Forms:

• Child - Intake Form - Katherine Esquivel, LPC

• Child - Patient Services Agreement Form- Katherine Esquivel, LPC

• Child - Consent to Treatment Form - Katherine Esquivel, LPC

• Child HIPAA - Texas Notice Form - Katherine Esquivel, LPC

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Spanish Forms:

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