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FORMS*

 
 
*Please email us to access online if you didn't receive it prior to your intake

Once your appointment is secured, you will be sent a secure link to complete the intake forms and consents.  Please have this filled out prior to your intake appointment.  The link will come from admin@juliasocounseling.com email, so please check spam if you don't see it. If there are any custody legal arrangements, we will need a copy of those court documents (if applicable) sent to admin@juliascounseling.com.  If you have a custody agreement, we must have a copy of this on file prior to seeing your child. 

If you would like your therapist to coordinate care with another provider at any point during therapy (i.e,, psychiatrist, physician, other family member, step-parent, etc.), complete this form to authorize release of psychotherapy information:

 


Confidentiality & Privacy Policy

The law protects the relationship between a client and a therapist, and information cannot be disclosed without written permission.

Exceptions include:

  • Suspected child abuse or dependent adult or elder abuse, for which I am required by law to report this to the appropriate authorities immediately.

  • If a client is threatening serious bodily harm to another person/s, I must notify the mental health authorities and/or law enforcement.

  • If a client intends to harm himself or herself, I will make every effort to enlist their cooperation in ensuring their safety. If they do not cooperate, I will take further measures without their permission that are provided to me by law in order to ensure their safety.

Houston (West Memorial) Location: 

11211 Katy Freeway, Suite 540

 Houston, Texas 77079

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The Woodlands/Spring Location:

1544 Sawdust Rd. Suite 260

 The Woodlands, Texas, 77380

Email: admin@juliascounseling.com
Tel:  832-303-8933, call or text

Fax:  832-383-3817

© 2015 by Julia's Counseling & Play Therapy Group, PLLC 

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