Request an Appointment

with a Graduate Intern

At NLCC, we are interested in trying to connect you with the therapist best suited for your needs.  Thus, even from the first phone call, we believe that a good investment of time for both you and your therapist is to spend approximately five minutes on the phone to gather an idea of what issue(s) may invite you to seek counseling.  And based on this information, your therapist may offer you a referral to another therapist, who may specialize in something that you seek, or offer to set an appointment. All of our Graduate Interns work exclusively at our Round Rock location.

Paperwork

These forms are listed here for our first-time visitors who are seeing one of our Graduate Student Interns. Please print at home and fill out ahead of your appointment. 

 

Individuals & Couples:  Please read #1, and print and fill out #2 and #3 before your first appointment. 

1. HIPAA consent

2. Adult Personal Data

3. General Consent to Treatment 

    

 

Child-Adolescent Clients: Parents/legal guardians, please read #1, and print & fill out #2, 3 and 4 before your first appointment.

1. HIPAA consent

2. Adult Personal Data

3. Child & Adolescent Personal Data

4. General Consent to Treatment

Required paperwork for working with Interns: Choose which Intern you're working with and then download, read and sign before your first appointment.

1.  Tommy Estes

2.  David Yentzen

3.  Karen Causey

Additional paperwork if needed:

1. Online therapy consent form

2. Release of Information

3. Sliding Scale Application

 

For a quicker response from our team, please fill out our online form. Phone calls will be returned in 24-48 hours.

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Thanks for submitting! We will get back to you within 24 hours or by the next business day.