Forms

The first step for change is contacting me to book your appointment.

Once you have done that, please complete the Client Forms below:

When you complete these forms, please email them to me so I can be well prepared for our session.

Adult Intake Packet

Client Contact Information Sheet

Disclosure Statements

Hippa Disclosures

Limits of Confidentiality

If information needs to be shared with other providers, this form if required. Your confidentiality is important!

Release of Information



116 S. Erath Street,
Meridian, TX 76665

Info@dragonflytherapyservices.com
(325) 665-4381

 

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