Austin Attachment and Counseling Center
            Stephen J. Terrell, MS, LPC,RPT, SEP

New Client: Child

Please print and complete the following forms and bring with you to the first appointment.  Please give as much information as possilbe.  Please remember that the first appointment is an intake appointment and is for parents only. 

Also, if you have any reports from physcians, psychologists, or other therapies, please bring a copy of those reports to your first appointment.

Thank You!



New Client Child Forms

Client Disclosure

Child Financial Form

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