Crystal Counseling
116 Gallery Circle
Suite 201
San Antonio, TX 78258
United States

ph: 210-802-4695
fax: 210-802-4698
alt: 210-787-1227

Info@CrystalCounseling.com

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First Appointment Forms

To best prepare and make your initial and ongoing treatment as beneficial as possible, please print the forms below, complete them to the best of your ability, and bring the completed forms with you to your initial appointment.

The forms will provide you information about what to expect while you work with your counselor, as well as provide your counselor important information needed to best help you.

If the client is an adult, print the ADULT FORMS.

If the client is 17 years old or younger, print the MINOR FORMS. Both, the legal guardian and minor child who is receiving counseling, will need to sign portions of the forms.

Information we will need when scheduling your first appointment:
1) Client / Insured's Name
2) Insurance Company Name
3) Insurance Policy Number
4) The Contact Number Listed On Your Insurance Card
5) Reason Seeking Assistance
 

ADULT FORMS

Policies and Procedures

Adult Intake

Couple Intake

MINOR FORMS (17 and younger)

Policies and Procedures

Minor Intake

Adolescent Intake

We are now scheduling appointments. we offer some evening and weekend times available. 


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Crystal Counseling
116 Gallery Circle
Suite 201
San Antonio, TX 78258
United States

ph: 210-802-4695
fax: 210-802-4698
alt: 210-787-1227

Info@CrystalCounseling.com