New Client Form — Rare Bird Psychotherapy

The Rare Bird Psychotherapy office is located at the Rivertree Office Complex in South Austin, on Manchaca Road between Lamar and Ben White Blvd. My address is 3625 Manchaca Rd, suite 202, Austin, TX 78704.

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Mental Health Diagnoses and History

Please report any previous mental health diagnoses and significant history

Medical Diagnoses and History

Please report any past and present medical diagnoses and significant medical history