Marilyn Ross LCSW
Licensed Clinical Social Worker
Downloadable Forms

If you wish, you may download and fill out your client information forms prior to your first visit. If you are using insurance, please be sure to bring your insurance card to the appointment.

New client Information

Signature Page

HIPAA Notice

If you are using insurance, please fill out the following form and fax it to 512-345-2368 SEVERAL DAYS prior to your appointment so that benefits and co-pay amount can be verified.

Insurance Verification Form