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Contact Today at (936) 213-6580

Lara Neely
Doctor of behavioral Health
Lara Neely
Doctor of behavioral Health

Contact Today at (936) 213-6580

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CLIENT PAPERWORK

Contact us to find out which paperwork we need you to complete before your first appointment.

NOTICE OF PRIVACY PRACTICES (pdf)

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INFORMED CONSENT FOR PSYCHOTHERAPY (pdf)

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STANDARD INTAKE QUESTIONNAIRE (pdf)

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INFORMATION AND INFORMED CONSENT FOR TELEMENTAL HEALTH TREATMENT (pdf)

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CREDITDEBIT CARD PAYMENT CONSENT FORM (pdf)

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Hypnotherapy Informed Consent Form (docx)

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AUTHORIZATION TO DISCLOSE PROTECTED HEALTH INFORMATION (pdf)

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Lara Neely, Doctor of Behavioral Health, LPC, PLLC

Licensed in Texas and Colorado: TX LPC# 84996; CO LPC0019268; NPI #1619543600

Copyright © 2025 Lara Neely, LPC, PLLC- All Rights Reserved.

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