Mike Harrison, Ph.D. Psychotherapy for Individuals, Couples

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Mike Harrison, PhD
(713) 504-7772
mdharrisonphd@yahoo.com
Helpful Forms

If you're a new client, please complete the following forms and bring them to your first session.

  • Client Intake Form
  • Limits of Confidentiality/Cancellation Policy Form

 

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form:

  • Consent to Release Information For

Client Intake Form
Confidentiality and Cancellation Policy
Disclosure Authorization

Note: To download Adobe Acrobat Reader for free, click here.


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