FORMS In order to save you time, you may download the intake form, complete them at your convenience and bring them with you to your initial session. Online Individual Intake Form Printable Individual Intake Form Online Couple Intake Form Printable Couple Intake Form HIPPA Acknowledgement ONLINE FORM NOTICE OF PRIVACY PRACTICES TELEHEALTH CONSENT FORM Message Us Get In touch below. Ask Any Question Call Us (806) 790-1327 Name Email Address Message Submit Phone / Fax Phone: (806) 790-1327 Fax: (806) 863-3874 Email firstname.lastname@example.org Hours Mon. - Thurs. 8am - 3pm In case of emergency call 911.