Get Started at BHD

Consent for Treatment Form

This is a long form (we know, sorry!) that explains a variety of important issues, such as the philosophy behind therapy services at BHD, fees, services, your rights as a patient, our rights as providers, limits of confidentiality, and other helpful information.

Texas Notice Form

This form goes over the limits of confidentiality and HIPAA.

Telehealth Consent Form

This form reviews the pros and cons of telehealth treatment and ensures your understanding before beginning this type of treatment.

Demographics and Background Information Form

This form collects basic information about you as a patient, your background, and why you’re seeking therapy at this time.

Release of Authorization or Information (ROI) Form (Optional)

A licensed mental health professional is required by law to keep all of your information confidential according to HIPAA standards. Completing an ROI form is the only way providers are allowed to discuss your care with anyone else (e.g., your partner, your doctor, your former therapist, etc.). Although this form is optional, we strongly encourage you to complete it with the name of the referring medical provider to ensure continuity of care. If you were not referred to our practice by a medical provider, please feel free to complete this form with the name of anyone else you may want to be involved in your care. 

Credit Card Information Form

You may include a credit card (we accept all major credit cards), HSA, or FSA account here. You will have access and control of your credit card through the client portal and can, therefore, change your card at any time. 

Baseline Depression and Anxiety Screen 

As a new patient, you'll receive a baseline mood and anxiety screen to inform your provider of how best to meet your needs. This initial screen also allows us to create specific treatment plans and track your progress.