Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

Note: To download Adobe Acrobat Reader for free, Click here.

The Common Mind Counseling Service

Address

5337 Yorktown Blvd, Ste 4A2,
Corpus Christi, TX 78413

My Availability

Monday  

10:00 am - 6:30 pm

Tuesday  

10:00 am - 6:30 pm

Wednesday  

10:00 am - 5:00 pm

Thursday  

10:45 am - 6:00 pm

Friday  

9:00 am - 12:15 pm

Saturday  

Closed

Sunday  

Closed