Psychotherapy Assessment Credentials Contact/Directions Recommended Readings Forms

Joellen M. Peters, Ph.D.

605 C Copeland Street
Austin, TX 78704
Phone: (512) 627-1308



The following forms are for you to use to learn about my office policies and to fill out prior to your first visit.

Policies and Procedures. This describes my offices policies and information about confidentiality, payment, and insurance reimbursement. The last page needs to be printed out, signed, and brought to your initial appointment.

Adult Intake Form. You will fill this out to bring to our first meeting. It provides basic information that I need for contacting you and for record-keeping.

Child Intake Form. If your child is coming to see me, this form provides me with basic information about your child. I will also ask you to fill out an Adult Intake Form, even if I am not working directly with you.

HIPPA Form. I am required to give you this form when you come to my practice. It outlines information about confidentiality and the sharing of confidential information among health care professionals.