What to Expect
If you have already scheduled an appointment, you can help expedite the intake process by completing the forms in the list below. Please bring a photo id and a copy of your insurance card with you to your initial appointment. Please arrive about 15 minutes prior to your first appointment.
Intake Form (Adult)
Intake Form (Child / Adolescent)
Samaritan Fund Scholarship Application
Getting Acquainted Information and Disclosure Form
Release of Information Consent Form
Consent to Provide VideoTherapy Services Form
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I wouldn’t be where I am today without Kilgore.