Embedded Files
CONFIDENTIAL TELEHEALTH COUNSELING SERVICES
Notice of Privacy Practices
Notice of Privacy Practices - revised 5-25-2021.pdfInformed Consent
Informed Consent for Individual Therapy-Revised 4-7-2022.pdfAuthorization to Disclose PH-Information (HB300)
hb300-Authorization-Disclose-Health-Info.pdfAdult Client Information
Adult Client Information Form - revised 07-19.pdfChild Client Information
Child Client Information Form - revised 07-19.pdfAdult Couple Information
Adult Client Couple Information Form - revised 12-19.pdfAdult Couple Client Informed Consent
Informed Consent for Couples Therapy-Revised 4-7-2022.pdfTo request health care record information from PAX Consulting & Counseling, PLLC, please email consultpax@protonmail.com.
To contact the Texas Behavioral Health Executive Council, please use this link for their webpage: https://bhec.texas.gov/contact-us/
To file a consumer complaint with the Office of Attorney General’s Consumer Protection: https://www.texasattorneygeneral.gov/consumer-protection
Google Sites
Report abuse