top of page
Christa Ashworth-Perkins, MA
Licensed Professional Counselor
Nationally Certified Counselor
New Client Forms
The Verification of Insurance Form is used to verifiy if my services are in-network with your insurance, provide you with copay information and number of sessions allowed per year.
The Fee Statement form shows fee amounts for counseling services for private pay sessions and out of network insurance plans.
Verification Insurance Form
Fee Statement
Counselor Huntsville TX
Counseling Huntsville TX
* The forms below will be discussed and completed during introduction.
Counseling Disclosure
School Release Form
Client Release of Information
bottom of page