Patient Forms

Call us today for your own New Start.

NewStarts Counseling and Education Services
423 Keller Parkway Suite B
Keller, Texas  76248

Phone: 817-337-6733
Fax: 817-337-6822

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To save time at your appointment, we recommend you complete new client forms prior to your appointment. However, you are welcome to complete the forms in our office.

New Client Forms:
Client Intake Form
Client Consent Form
Notice of Privacy Practices

Information Form (complete the appropriate form):

Adult Information Form (for ages 18 and up)
Adolescent Information Form (for ages 12 -17)*
Child Information Form (ages 8 -12)*

*Consent for Treatment of a Minor (for new clients under 18 years of age)
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