Forms Pat Gossett, M.A., LPC

500 TURTLE COVE, SUITE 220
ROCKWALL, TX 75087 US

214.909.0829

500 TURTLE COVE, SUITE 220 ROCKWALL, TX 75087 US
214.909.0829

Client Forms

Prior to your first appointment with me, please download the appropriate intake documents using the links at the bottom of this page: 

  • New Client:  Complete Intake Documents.  If you are a new Client, please download these documents.  These documents provide me with a fairly comprehensive picture of your history, current health issues, and counseling goals.   Please take the time to thoroughly complete them, and bring them with you to your first session. 
  • Former Client:  Abbreviated Intake Documents.If you are a returning Client and have previously completed the Complete Intake Forms, please download these documents, fill them out thoroughly, and bring them with you to  your first session.
  • Telehealth Consent Form.  From time-to-time it may be necessary for you to schedule a telehealth counseling session.  This may be for various reasons on either my part or yours, or due to such things as inclement weather or public health concerns.  This document outlines the guidelines for telehealth sessions and provides me your official consent for this type of service.  Please download, complete, and bring this document to your first session so that I may keep it on file for you in the event a future telehealth session may be necessary. 

I understand there is a great deal of information for you to complete in these documents; however, your thorough completion of them enables me to better understand you and your counseling needs, and to optimally assist you in reaching your counseling goals.  Please don't wait until the last minute to complete these important documents.  I appreciate your thorough completion of these documents.



Contact Me

Location

Appointment Availability

Primary

Monday:

1:00 pm-6:00 pm

Tuesday:

1:00 pm-6:00 pm

Wednesday:

1:00 pm-6:00 pm

Thursday:

1:00 pm-6:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed