CENTER FOR FAMILY CONSULTATION
  • Welcome
    • about me
  • Services
    • Our Services
  • Office Details
    • Location / Hours
    • Contact Us
    • Office Policies
    • HIPPA
    • Download Forms
  • CYS Menu
    • About the CFC/CYS Partnership
    • PHILOSOPHY
    • CYS PROGRAM
    • CYS REFERRAL PROCESS
    • CYS Therapists >
      • Brenda Argueta, LCSW
      • Alvia Baldwin, PhD
      • Gail Brackins, LCSW
      • Mercedes Dominguez, M.Ed, LPC
      • Bonnie Headington, PhD
      • Victor E. Loos, PhD, LSSP
      • Elizabeth Lyons, LPC
      • Ruben Martinez, PhD, LPC
      • Denise Morales, LCSW
      • Clara Peña, LPC, PhD
      • Michael Thomas, LCSW
      • Fabiola Williams, LPC
    • CYS Locations >
      • Main Location
      • Other Locations

Download Forms

Interactive Forms for Online Submission

Click on the links below to submit forms via secure online process.
​
** Interactive forms (HelloSign)
1. 
New Client Packet for Individuals or Families ** (HelloSign)
​
2. ​Credit Card Authorization ** (HelloSign)

Client Forms for Download + Print

​To make things easier for you, we have provided new client forms that can be easily downloaded in either English or Spanish. Simply click on the links below to initiate the download process.

English

• New Client Packet for Individuals or Families 
• New Client Packet for Couples
• Consent for Release of Information
• HIPAA Form
• ​Credit Card Authorization 

Spanish

• Paquete para Nuevos Clientes Individuos o Familias
• Paquete de Nuevo Cliente para Parejas
• El Consentimiento para la Divulgación de Información
• Formulario de HIPAA
• ​Autorización de tarjeta de credito

Give us a call.

We'll gladly answer any questions you have.
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Submit

phone​

713.526.4751


​fax
​713.526.4342

address

2524 Nottingham St
​Houston, TX 77005
cfctexas Copyright ⓒ All rights reserved.
  • Welcome
    • about me
  • Services
    • Our Services
  • Office Details
    • Location / Hours
    • Contact Us
    • Office Policies
    • HIPPA
    • Download Forms
  • CYS Menu
    • About the CFC/CYS Partnership
    • PHILOSOPHY
    • CYS PROGRAM
    • CYS REFERRAL PROCESS
    • CYS Therapists >
      • Brenda Argueta, LCSW
      • Alvia Baldwin, PhD
      • Gail Brackins, LCSW
      • Mercedes Dominguez, M.Ed, LPC
      • Bonnie Headington, PhD
      • Victor E. Loos, PhD, LSSP
      • Elizabeth Lyons, LPC
      • Ruben Martinez, PhD, LPC
      • Denise Morales, LCSW
      • Clara Peña, LPC, PhD
      • Michael Thomas, LCSW
      • Fabiola Williams, LPC
    • CYS Locations >
      • Main Location
      • Other Locations