Consent Form
Download and complete a Parental Consent form if the patient is younger than 18 years old. If the patient is 18 - 21 years old, download and complete the Adult Consent form. All patients should also download and complete the Informed Consent for Telepsychology. Bring the completed form to your first appointment or fax it to (409) 765-5026.
To Make a Psychiatry Appointment
To contact a member of our psychiatry team or to make an appointment, call (409) 761-3530 ext. 6. Please note that a psychiatry case manager is only available on Mondays, Wednesdays and Thursdays.
Patient Privacy
The Teen Health Center, Inc. carefully protects your private health information. Only employees who are directly involved in patient care and billing are allowed access to patient files. For more information, please read our Notice of Privacy Practices.