Counseling Center of North Texas
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  • Good Faith Estimate
  • Kate Barnes, LPC-A
  • Sam Barrett, LCSW
  • Elizabeth Bobo, LPC
  • Marisa Burton, Student
  • Sarah Caras, LPC-A
  • Stephanie Collier, LPC
  • Crystal Cooke-Brown, LMSW
  • Amanda Cortez, LCSW
  • Axel Cristales, LPC
  • Jennifer deJong, LMSW
  • Marissa Ealy, LPC-A
  • Christina Felicetti, LMFT
  • Natalie Fetsch, LPC
  • Vanessa Gill, LCSW
  • Lois Harker, LPC-A
  • Kami Hawk, LCSW
  • Meena Jeanes, LMSW
  • Vanity Johnson, LMSW
  • Cynthia Jones, LPC-A
  • Jennifer Kelling, LPC
  • Belinda Kimbeng, LCSW
  • Derryl Kinnell, Student
  • JC McCoy, LPC
  • Erica Meshell, Student
  • Buffy Owens, LCSW
  • Rayven Peck, LPC-A
  • Sheila Ruble, LPC
  • Courtney Ruetz, LMFT-A
  • Brooklynn Sanders, LMSW
  • Kara Schramm, LPC
  • Jennifer Seng, LPC
  • Dewayne Smith, LMSW
  • Kara Talton, LCSW
  • Kerryan Welch, LMSW
  • Toni Williams, LPC
  • Jill Yarbrough, LCSW
  • More
    • Home
    • Plano or Telehealth
    • Wylie or Telehealth
    • Telehealth Only
    • Groups
    • Forms
    • Contact Us
    • Books We Love
    • Good Faith Estimate
    • Kate Barnes, LPC-A
    • Sam Barrett, LCSW
    • Elizabeth Bobo, LPC
    • Marisa Burton, Student
    • Sarah Caras, LPC-A
    • Stephanie Collier, LPC
    • Crystal Cooke-Brown, LMSW
    • Amanda Cortez, LCSW
    • Axel Cristales, LPC
    • Jennifer deJong, LMSW
    • Marissa Ealy, LPC-A
    • Christina Felicetti, LMFT
    • Natalie Fetsch, LPC
    • Vanessa Gill, LCSW
    • Lois Harker, LPC-A
    • Kami Hawk, LCSW
    • Meena Jeanes, LMSW
    • Vanity Johnson, LMSW
    • Cynthia Jones, LPC-A
    • Jennifer Kelling, LPC
    • Belinda Kimbeng, LCSW
    • Derryl Kinnell, Student
    • JC McCoy, LPC
    • Erica Meshell, Student
    • Buffy Owens, LCSW
    • Rayven Peck, LPC-A
    • Sheila Ruble, LPC
    • Courtney Ruetz, LMFT-A
    • Brooklynn Sanders, LMSW
    • Kara Schramm, LPC
    • Jennifer Seng, LPC
    • Dewayne Smith, LMSW
    • Kara Talton, LCSW
    • Kerryan Welch, LMSW
    • Toni Williams, LPC
    • Jill Yarbrough, LCSW
Counseling Center of North Texas
  • Home
  • Plano or Telehealth
  • Wylie or Telehealth
  • Telehealth Only
  • Groups
  • Forms
  • Contact Us
  • Books We Love
  • Good Faith Estimate
  • Kate Barnes, LPC-A
  • Sam Barrett, LCSW
  • Elizabeth Bobo, LPC
  • Marisa Burton, Student
  • Sarah Caras, LPC-A
  • Stephanie Collier, LPC
  • Crystal Cooke-Brown, LMSW
  • Amanda Cortez, LCSW
  • Axel Cristales, LPC
  • Jennifer deJong, LMSW
  • Marissa Ealy, LPC-A
  • Christina Felicetti, LMFT
  • Natalie Fetsch, LPC
  • Vanessa Gill, LCSW
  • Lois Harker, LPC-A
  • Kami Hawk, LCSW
  • Meena Jeanes, LMSW
  • Vanity Johnson, LMSW
  • Cynthia Jones, LPC-A
  • Jennifer Kelling, LPC
  • Belinda Kimbeng, LCSW
  • Derryl Kinnell, Student
  • JC McCoy, LPC
  • Erica Meshell, Student
  • Buffy Owens, LCSW
  • Rayven Peck, LPC-A
  • Sheila Ruble, LPC
  • Courtney Ruetz, LMFT-A
  • Brooklynn Sanders, LMSW
  • Kara Schramm, LPC
  • Jennifer Seng, LPC
  • Dewayne Smith, LMSW
  • Kara Talton, LCSW
  • Kerryan Welch, LMSW
  • Toni Williams, LPC
  • Jill Yarbrough, LCSW

Forms

Authorization to Release Records (pdf)

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Change of Information Form (pdf)

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Child Intake Paperwork (pdf)

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Credit Card Authorization (pdf)

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Financial Responsibility (pdf)

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Privacy Practices (pdf)

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Reauthorization Form (pdf)

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Secondary Insurance Form (pdf)

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Telehealth Informed Consent (pdf)

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720 E. Park Blvd., Suite 204 Plano, TX 75074