Megan Gillespie, LCSW, PLLC
Megan Gillespie, LCSW, PLLC
Megan Gillespie, LCSW, PLLC
Megan Gillespie, LCSW, PLLC
Megan Gillespie, LCSW, PLLC
Megan Gillespie, LCSW, PLLC
Megan Gillespie, LCSW, PLLC
Megan Gillespie, LCSW, PLLC
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Client Forms
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Location & Contact
Client Forms
"Vulnerability is not weakness. And that myth is profoundly dangerous." ― Brené Brown
Adult Client Information Form
(pdf)
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Adolescent Client Information Form
(pdf)
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Service Agreeement
(pdf)
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Notice of Privacy Practices
(pdf)
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Receipt of Notice of Privacy Practices
(pdf)
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Texas Limits of Confidentiality
(pdf)
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Electronic Communication Acknowledgement
(pdf)
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Authorization to Notify of Breach
(pdf)
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Adult Authorization for Release of Protected Health Information
(pdf)
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Adolescent Authorization for Release of Protected Health Information
(pdf)
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