Merry Anderson, MA, LPC

Wellspring Counseling

Downloadable Forms

New Client Paperwork   

For your convenience you may print out, complete, and bring your paperwork with you to your in-person session.  Allow about 10 or 15 minutes to review and complete the information.   If your initial appointment in online, email your completed paperwork 48 hrs in advance.

Sliding Scale Application

For those in financial need, an income-based sliding scale is available.  Complete this form and either email it merry@wellspring-austin.com or let me know you are applying and bring it with you to your initial session.

Concern EAP Clients Only: Client Information Form  

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

Concern EAP Clients Only: Statement of Understanding  

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.