Relationship Counseling, Couples Counseling & Gender Issue Therapy Forms

New Client Forms

For new clients:

New Client Intake Form

Office Policies and Consent for services:

Office Policies & Procedures

Consent for Services

Contact me at 713-823-4001 or fill out the form below. I welcome your call so we can discuss your specific situation and the benefits therapy may provide for you.

Name*
First Last
Email*
Phone*
Specific Subject You Would Like To Discuss(required)*
How Did You Hear About Denise (required)*
Additional Information You Would Like Me To Know About:
Would you like to be added to my mailing list and receive occasional information on relationships, personal growth and health?
- Yes

New Client Forms

Drug & Alcohol Evaluation Forms

Gender Therapy Forms

Additional Forms