-With Marcel Gamboa, Licensed Professional Counselor

For your convenience, I have attached documents that you can print and bring to your appointment.  Please fill out the Informed Consent ("Minors" if the client is under 18), the Intake Form, and sign the last page of the HIPAA Notice. If you wish for anyone to have access to your records, fill out the authorization form as well.  Please do not staple the pages and print on one side only.  

Note:  DO NOT EMAIL DOCUMENTS.  The documents contain sensitive information that may not be safe via an email transmission. 

If you do not have a printer or prefer not to bring the forms with you, it is perfectly acceptable to complete this process at the office. Please arrive 15-20 minutes prior to your first appointment in order to review and complete these forms.

On a practical note, please be aware that the Highway 6 area gets quite congested during lunch time and during rush traffic hours between 4 and 6 p.m.  Please arrive on time, as the counselor will not extend your session if you are running late.  

The office is located one block south of West Little York on Highway 6 North.  My office is located on the 3rd floor to the right when exiting the elevator. ​​

See you soon!  

Life Cycles Counseling


5870 Highway 6 North, Suite 310