American Psychological Association Help Center

American Psychological Association Ethics Office

Dallas Society for Psychoanalytic Psychology

HIPPA forms

I am required by the State of Texas and the U.S. Congress to explain to you a general description of the psychotherapeutic process along with a series of laws and regulations that have been developed to insure your privacy. I am also required to obtain your signed agreement concerning the Health Insurance Portability and Accountability Act (HIPAA) and the informed consent guidelines of the Texas State Board of Examiners Psychologists (TSBEP). These forms can be dowloaded at the following links.

Informed Agreement - Word .doc file | Adobe .pdf file

Texas Notice Form - Word .doc file | Adobe .pdf file