Moments of Clarity Therapy
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Payment & Forms

Payment for services are accepted under the supervision of Marcia Bunch, Texas LMFT & LPC approved supervisor.

Accepted Forms of Payment:

VISA, Mastercard, Discover, checks, cash

Insurance:

No forms of insurance are accepted. 

New Client Intake Form  Please print and complete this document prior to your first appointment.  Even if you are bringing a child, the form should be filled out by the parent and with the parental views.  These are not intended to be completed from the child's perspective.  If necessary, additional documents are provided for children.

HIPAA - Notice of Privacy Practices  Please read this document prior to your first appointment.  If you have any questions, please ask them during your initial intake appointment.  
 
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