ACGL CLIENT FORMS
CLIENT INFORMATION and CONSENT FORM
After making your very first appointment for either group, individual, or family therapy, Client Information and Consent Forms will need to be completed before your initial intake session.
Individuals 18 and older seeking any of our services must complete this form.
For couples therapy clients, each of you should complete this form separately.
Parents or guardians bringing in a child/adolescent, please complete this form for each child/adolescent under 18 years of age. (This form must be signed by the guardian of the child.)
Consent forms are located in your client portal.
PARENT/GUARDIAN INFORMED CONSENT AGREEMENT
Additional documentation is required from parents/guardians for minor children and adolescents.
Review and email the completed Informed Parent/Guardian Consent Agreement to firstname.lastname@example.org.
Note the section on divorce if applicable. In the case of a finalized divorce or legal separation, a copy of the divorce decree or legal separation documentation and two parent signatures must be provided.
If you have any questions or difficulties please call us at 512.472.7878, Monday through Friday, 9 am - 4 pm. If you are unsure which form to fill out, please speak to someone at The Austin Center for Grief & Loss and we will happily advise you.