Theokratia Psychotherapy

Intake Forms

Theokratia Psychotherapy Intake Forms

**Please note that if you plan to use insurance you can use the following links to verify if we are in network with your insurance company and verify your expected expenses.**

Please select the green button at the bottom right of the form entitled “get exact price” after you click on the link:

You will receive an email with a link to your electronic forms once you book an appointment and the appointment is approved.

Your appointment will be approved upon:

  • completion of your intake forms
  • succesful process of your chosen method of payment

There's Hope!

At Theokratia Psychotherapy, it is important to us that you live the best life that you possibly can. Contact us today to see how we can help you start down that road to freedom.

Theokratia Psychotherapy PLLC/PC

Headquartered in Dallas, Texas (75201), we also serve clients in both Texas and California.


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