CANDICE TILLMAN, LPC-S COUNSELING AND CONSULTING, PLLC
  • About
  • Meet Our Therapists
    • Candice Tillman
    • Monica McDermott
    • Katie Hueni
    • Jennifer West
    • Mary Travis
  • Services
    • Children
    • Teens
    • Adults
    • Group Therapy
    • LPC Supervision
    • Training Registration
  • Rates & Forms
    • Client Forms
    • Rates & Insurance
  • Contact
  • Resources
    • Children & Teen Resources
    • Adult Resources
  • Contract Therapist Position

Client Forms

Please download, review, and sign all of the following documents prior to your first session. If you have any questions regarding the consent forms, please feel free to call our office at 713-614-4597 or email at candicetillmanlpc@gmail.com. 
Adult Intake Form
File Size: 943 kb
File Type: docx
Download File

Telehealth Services Consent Form
File Size: 8726 kb
File Type: docx
Download File

Child Intake Form
File Size: 944 kb
File Type: docx
Download File

Teacher Observation Report
File Size: 15 kb
File Type: docx
Download File

Informed Consent Form
File Size: 8727 kb
File Type: docx
Download File

HIPPA Privacy Statement & Client Rights
File Size: 8729 kb
File Type: docx
Download File

Outdoor Therapy Consent Form
File Size: 8727 kb
File Type: docx
Download File

Signature Consent Page
File Size: 8725 kb
File Type: docx
Download File

Credit Card Authorization
File Size: 8723 kb
File Type: docx
Download File

Have any questions first? You can always email us directly at candicetillmanlpc@gmail.com or call us at 713-614-4597. 
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contact us
  • About
  • Meet Our Therapists
    • Candice Tillman
    • Monica McDermott
    • Katie Hueni
    • Jennifer West
    • Mary Travis
  • Services
    • Children
    • Teens
    • Adults
    • Group Therapy
    • LPC Supervision
    • Training Registration
  • Rates & Forms
    • Client Forms
    • Rates & Insurance
  • Contact
  • Resources
    • Children & Teen Resources
    • Adult Resources
  • Contract Therapist Position