New Client Forms

After scheduling your first appointment, you will need to fill out the appropriate intake forms attached below (click to download).  These forms help the therapist learn more about you and help you to understand your rights as a client.  Please complete and bring these forms to your initial consultation session.

1.  HIPAA Form

2.  Policies & Consent Form

3.  Child Intake Form

4.  If applicable, a copy of you divorce decree and any current visitation and custodial agreements/orders regarding your child is required in cases of divorce when receiving services from Ensemble Therapy, as required by the Title 22 of the Texas Administrative Code Chapter 681.

5.  Record Release Form

6. Insurance Policy (only for BCBS)

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