Forms

Please click to download the forms marked by asterisk prior to your first appointment. You will need to complete these and bring them to your first session. If you are unable to download them, please contact me at samuel.robison@rrcounselors.com or call 512.806.6696 and I will mail you an intake packet.

HIPAA Authorization

HIPAA Notice of Privacy Practices *

Assessment of Lagging Skills and Unsolved Problems

ALSUP Guide

Drilling Cheat Sheet

Plan B Cheat Sheet

Child/Adolescent Social and Health History *

Technology Assisted Informed Consent *

Informed Consent for Individual and Family Therapy Form *

Telehealth Informed Consent 2020 March *

Revocation of Authorization