Kimberly Buesing Counseling

SCHEDULE A CONSULTATION 
 
If you're a new client, please complete the following forms and bring them to your first therapy session.
 
  • Client General Information
  • HIPPA/Limits of Confidentiality 
  • Insurance Authorization 
If you would like me to coordinate care with another provider, such as your psychiatrist or family physician, please complete the following form to authorize the release of your therapy information:
 
 
Note: To download Adobe Acrobat Reader for free, click here.

HELPFUL FORMS

NEED HELP?

Please contact me for a consultation today:

940-357-1156

kdbuesing@gmail.com

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