Intake Forms
Please print out, and fill in these forms prior to your first appointment.
Resources
- For Immediate help with life threatening conditions or suicide call 911 - Or go to your nearest Hospital Emergency Room
- Suicide and Crisis Center of North Texas - 214.828.1000 - www.sccenter.org
- National Suicide Prevention Lifeline - 1.800.273.8255 - www.suicidepreventionlifeline.org
- 211 - For Local Crisis Support
Forms
- Read over and fill out these forms before your first visit.
- Professional Disclosure Statement
- Intake Questionnaire
Contact
- Paul Haggan, Ph.D., LPC
- Licensed Professional Counselor
- Certified Equine Assisted Counselor
- 413 W. Bethel Road Suite 202
- Coppell, Texas 75019
- Cell: 214.577.2715
- drpaulhaggan@verizon.net
2012 © Dr. Paul Haggan. All Rights Reserved. | Site by: Ryan Whittle