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About George Glaser

About Psychotherapy

Treatment of Anxiety

Couples Therapy

Irritable Bowel Syndrome

Coping with Diabetes

Treatment of Pain

Supervision & Consultation

Services & Fees

Managed Care Plans

Training for Professionals

Educational Resource Page

George Glaser, LCSW 1600 W. 38th St Suite 306 Austin TX 78731 (512) 371-9418 (512) 828-7042 (fax)

My office forms are available for download
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» Select the appropriate forms below by clicking on the link(s) below.

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» Print the forms, fill them out and bring them to the first visit.

For all clients 18 and over. Couples should complete an Adult Form for each person, plus one
Couples Form .

Child/Adolescent Forms

For all clients
under 18

Couples should complete an Adult Packet for each person, plus one Couples Form that is completed by both persons.

Complete this form if anxiety is a major reason for requesting help.

Release of Information Form-Adult

(from Mr. Glaser to another party)

Release of Information Form-Adult

(from another party to Mr. Glaser)

Release of Information Form-Child

(from Mr. Glaser to another party)

Release of Information Form-Child

(from another party to Mr. Glaser)

IBS Log

Download this form to track IBS symptoms.

~ page updated on June 28, 2010 ~