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Contact Page Form

Name of Person Completing Paperwork(Required)
Name of Person Receiving Services
If different from person completing paperwork (e.g. minors, relationship counseling, etc).
Address(Required)
Date of Birth(Required)
(of person seeking services)
Please note that this is required by insurance specific to the person seeking services.
Mobile information will not be shared with third parties/affiliates for marketing/promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with unauthorized entities or third parties.
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Your Authority to Consent to Treatment
As required by law, we ask for any court documents upfront to confirm conservatorship for individuals under 18 years old. If biological parents are married, then no documentation is required. This is to ensure we abide by all pre-existing legal agreements regarding consent for counseling and access to medical records. Please confirm whether you have the authority to consent to treatment for your child:
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Max. file size: 300 MB.
Do you have secondary insurance?(Required)
Are you the primary subscriber?(Required)
Where are you hoping to book an appointment?(Required)
How can we help?(Required)
Most important thing you would like to address:(Required)
Are any of these currently present (for you or the person seeking services)?
How did you find out about us?(Required)

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If you need urgent care, please
contact the Mobile Crisis Team at 512-472-HELP (4357) or dial 911.

Already a client? Here’s the link to our Patient Portal.

Our Locations

Downtown Austin

508 Deep Eddy Ave.
Austin, TX 78703

Westlake Office

3006 Bee Cave Rd., Ste D-310
Rollingwood, TX 78746

38th Street (Rosedale)

1500 W. 38th St., Ste 44
Austin, TX 78731

Stassney Office

2600 W Stassney Ln
Austin, TX 78745

Steck Office

8140 N Mopac, Bldg 4, Suite 200
Austin, TX 78759

Houston Office

4119 Montrose BLVD STE 500, Houston, TX 77006

Round Rock Office

1 Chisholm Trail Ste 225,
Round Rock, TX 78681

San Antonio Office

1922 Dry Creek Way Ste 108,
San Antonio, TX 78259

When we set up your first appointment, we will specify your therapist’s location. If you have a location preference, please make sure to let us know as well!

Our Downtown Austin, Tarrytown, Clarkesville Office is located two blocks west of the Mopac and Lake Austin Blvd intersection on Deep Eddy Ave. Taking Lake Austin Blvd. from Mopac, just beyond Magnolia Cafe and Thundercloud Subs is a Chevron Station on the right. Our office is a two-story brick building directly behind the Chevron. [map]

Our Westlake Office is located off the Rollingwood and West Lake Hills exit (2244) off Mopac. Take the exit and continue down Bee Cave Rd. past the Finish Line car wash, until you see an office building on your right called The Palisades. When facing the Palisades building from the parking lot, Suite D-310 is in the uppermost right hand corner of the entire building.

Our Rosedale, Bryker Woods Office is located at 38th and Jefferson, a couple of minutes from the 35th St. exit on Mopac, within walking distance of Kerbey Lane Cafe. There are two parking lots on both sides of the building. Generally there is more parking available on the left side of the building (facing it from the street). We also have reserved parking on the parking level below with some spots reserved for our clients. Our office on is on the 4th level in suite #44. Turn left out of the elevator and our offices will be down the hallway on your left.

Our Steck Office is located off of Mopac and Steck Avenue, conveniently nestled in quiet of the Westpark office complex.  Parking is plentiful, and our clinicians are based on the second floor of building 4 in Suite 200.

Finally, our Stassney Office is our newest location found on Westgate and Stassney Blvd, just a few miles from Central Market in Austin.  Parking is limited, so make sure to arrive well before your appointment time.