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LifeMenders Counseling, PLLC

821 Grand Avenue Pkwy, Bldg 1, Ste 102A

Pflugerville, TX 78660

(512) 673-2192

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Before your first appointment, please print, read, and complete the appropriate forms below and bring them to your first session.  If you have any questions or concerns, we will discuss them during your session.



Please complete the following forms:


  1. Client Intake Form
  2. Adult Information Form
  3. Client Consent Form
  4. General Information Release Form
  5. HIPAA Authorization Form
  6. Notice of Privacy Practices Form


Forms