Counseling Center of North Texas
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  • Elizabeth Bobo LPC
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  • Stephanie Collier LPC
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  • Jennifer deJong LMSW
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  • Thelma Handy LMSW
  • Lois Harker LPC-A
  • Meena Jeanes LMSW
  • Cynthia Jones LPC
  • Derryl Kinnell LPC-A
  • Belinda Kimbeng LCSW
  • JC McCoy LPC
  • Zoe McDonald, LMSW
  • Erica Meshell LPC-A
  • Buffy Owens LCSW
  • Rayven Peck LPC
  • Sheila Ruble LPC
  • Courtney Ruetz LMFT
  • Kara Schramm LPC
  • Kasheryl Sims, LMSW
  • Dewayne Smith LMSW
  • Binoy Thannikkodan Kuriak
  • Lauryn Thomas LMSW
  • Dave Walker Student
  • Toni Williams Webb LPC
  • Wendy Webb LPC-A
  • Jill Yarbrough LCSW
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    • Home
    • Plano or Telehealth
    • Wylie or Telehealth
    • Telehealth Only
    • Groups
    • Contact Us
    • Request an Appointment
    • Our Blog
    • Books We Love
    • Forms
    • Administrative Team
    • Marissa Aguero, LPC-A
    • Sam Barrett LCSW
    • Haley Beaty LMFT-A
    • Humera Bhaidani LPC-A
    • Elizabeth Bobo LPC
    • Alana Campbell LCSW
    • Stephanie Collier LPC
    • Axel Cristales LPC
    • Jennifer deJong LMSW
    • Marissa Ealy LPC-A
    • Amanda Estep LPC
    • Jacqueline Fulmer LPC-A
    • Haley Grayson LPC-A
    • Elizabeth Hail LPC-A
    • Thelma Handy LMSW
    • Lois Harker LPC-A
    • Meena Jeanes LMSW
    • Cynthia Jones LPC
    • Derryl Kinnell LPC-A
    • Belinda Kimbeng LCSW
    • JC McCoy LPC
    • Zoe McDonald, LMSW
    • Erica Meshell LPC-A
    • Buffy Owens LCSW
    • Rayven Peck LPC
    • Sheila Ruble LPC
    • Courtney Ruetz LMFT
    • Kara Schramm LPC
    • Kasheryl Sims, LMSW
    • Dewayne Smith LMSW
    • Binoy Thannikkodan Kuriak
    • Lauryn Thomas LMSW
    • Dave Walker Student
    • Toni Williams Webb LPC
    • Wendy Webb LPC-A
    • Jill Yarbrough LCSW
Counseling Center of North Texas

Signed in as:

filler@godaddy.com

  • Home
  • Plano or Telehealth
  • Wylie or Telehealth
  • Telehealth Only
  • Groups
  • Contact Us
  • Request an Appointment
  • Our Blog
  • Books We Love
  • Forms
  • Administrative Team
  • Marissa Aguero, LPC-A
  • Sam Barrett LCSW
  • Haley Beaty LMFT-A
  • Humera Bhaidani LPC-A
  • Elizabeth Bobo LPC
  • Alana Campbell LCSW
  • Stephanie Collier LPC
  • Axel Cristales LPC
  • Jennifer deJong LMSW
  • Marissa Ealy LPC-A
  • Amanda Estep LPC
  • Jacqueline Fulmer LPC-A
  • Haley Grayson LPC-A
  • Elizabeth Hail LPC-A
  • Thelma Handy LMSW
  • Lois Harker LPC-A
  • Meena Jeanes LMSW
  • Cynthia Jones LPC
  • Derryl Kinnell LPC-A
  • Belinda Kimbeng LCSW
  • JC McCoy LPC
  • Zoe McDonald, LMSW
  • Erica Meshell LPC-A
  • Buffy Owens LCSW
  • Rayven Peck LPC
  • Sheila Ruble LPC
  • Courtney Ruetz LMFT
  • Kara Schramm LPC
  • Kasheryl Sims, LMSW
  • Dewayne Smith LMSW
  • Binoy Thannikkodan Kuriak
  • Lauryn Thomas LMSW
  • Dave Walker Student
  • Toni Williams Webb LPC
  • Wendy Webb LPC-A
  • Jill Yarbrough LCSW

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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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303 S. Highway 78, Suite 100-103 Wylie, TX 75098

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


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