LifeMenders Counseling, PLLC

116 W 8th St, Ste 110

Georgetown, TX 78626

(512) 673-2192

Contact Information: Designed by Essency Publishing & Design INNER PEACE UNDERSTANDING FREEDOM INNER PEACE UNDERSTANDING FREEDOM INNER PEACE UNDERSTANDING FREEDOM

Before your first appointment, please print, read, and complete the appropriate forms below and bring them to your first session.  If you have any questions or concerns, we will discuss them during your session.

Policies are subject to change without notice.  Please refer to this site for the most up to date information.



Please complete the following forms:


  1. Client Intake Form (Required)
  2. Adult Information Form (Required)
  3. Client Consent Form (Required)
  4. General Information Release Form (Optional)
  5. HIPAA Authorization Form (Read Only)
  6. Notice of Privacy Practices Form (Required)
  7. Informed Consent for Collaterals Form (Optional)


Forms Remote Telehealth Florida: https://flhealthsource.gov/telehealth/