Austin, Texas

Wellspring Counseling

Downloadable Forms

New Client Paperwork   New Clients & Concern Clients

If you would like to save time on the day of your initial appointment, print out the new client paperwork.  Allow about 10 or 15 minutes to review and complete the information.

Concern: Client Information Form   Concern Clients Only

For those clients of Concern Employee Assistance Program, please download and complete this form along with your New Client Paperwork. 

Concern: Statement of Understanding  Concern Clients Only

For those clients of Concern Employee Assistance Program, please download and complete this form along with your New Client Paperwork and the Client Information Form.

Sliding Scale Application   Optional for New Clients when Pre-Applying
For those in financial need, an impartial sliding scale is provided based on household size and income.  If you wish to apply for the sliding scale before making an appointment you may download the application, complete it electronically, and email it to merry@wellspring-austin.com.