Forms

If you are a new client, please print and fill out the following form and bring it to your first therapy session. If you are interested in scheduling an appointment please complete the following confidential inquiry form or call (832) 848-0870.  

Please also download and read the following document which provides general information for new clients, including information regarding fees and insurance, consent to treatment:

If you would like to allow coordination of care with another provider (for example, a psychiatrist, primary care physician, etc.), complete this form to authorize release of information:

To find out more about your health care coverage call between 9 and 3 pm during the week and speak to Margarita. She can find out what your coverage would be and get back to you to let you know the coverage within 2 business days.  You will be notified in one to three business days with information about your out of network mental health coverage

Additional information is available to clients includes the following and is displayed on the wall in the lobby of Dr. Fuller’s office:

   View Dr. Amy Fuller's profile on LinkedIn  

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