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New Patient Forms

Jill Duncan   Licensed Professional Counselor Supervisor & Registered Play Therapy Supervisor                                                                                                          

For new patient appointments & existing patient appointments please give me a call at my office to discuss scheduling: 214-244-1207.

Please be aware that I have 2 cats that come in and out of counseling at sessions  so if you are allergic to cats or if you are uncomfortable around cats than it would be best for you to select another counselor.


Please be informed that you must fill out every page of the Intake Forms and bring them to your first appointment. We cannot begin counseling or evaluations until all of the forms are filled out and we won't have 30 extra minutes in your session to fill them out. If you arrive without your forms filled out your appointment will be rescheduled.  Please fill out your forms in BLACK INK ONLY. Forms filled out in pencil will not be accepted.

  • Child Intake Packet
  • Adult Intake Packet       
  • Do not email me your forms. Forms that are emailed will be deleted and your appointment will be rescheduled. Bring your forms to your first appointment with you. Thank you!                 
Helpful Forms

Click here to view and print forms for your appointment.