Thank you for your interest in Legacy Counseling. If we’ve already spoken and plan to work together, please follow the instructions below. If we haven’t yet spoken, and you’d like to learn more about Legacy Counseling, please contact me and we’ll schedule a time to talk.
In the New Client Forms document you will find:
- A Professional Services Agreement, which discloses important information pertaining to the policies of my business practice, including fees for service and limits of confidentiality.
- A Notice of Privacy Practices. The privacy of any health information you disclose is important to me. I will maintain the privacy of this information and will not disclose it to others unless you tell me to do so, or unless the law authorizes me to do so.
- An Acknowledgement of Informed Consent Form.
- A Client information Form
- The Authorization To Disclose Protected Health Information Form.
Review and print the “Client Forms” now.
It is important that you carefully read and sign these forms. I will need to have them signed by you before we begin working together. You can scan and email them to me, or you can mail them to me at:
JH Legacy Counseling, PLLC
150 East Main Street, Suite 305
Fredericksburg, TX 78624
Should you have any questions, please contact me. I look forward to working with you!