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
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
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