Reach Out

Contact Us & Intake Forms

We're here to help. Reach out today to schedule your first appointment or ask any questions.

New Patients

Intake Form

Please complete the intake form below before your first appointment. Your information is kept strictly confidential in accordance with HIPAA privacy regulations.

Virtual Sessions

Request a Telehealth Appointment

We offer secure, HIPAA-compliant video sessions so you can receive quality counseling from the comfort of your home. Fill out the form and we'll reach out to confirm your appointment.

  • Secure & Confidential

    All video sessions are conducted on a HIPAA-compliant platform.

  • Flexible Scheduling

    Monday – Friday, 9:00 AM – 6:00 PM. We'll work around your schedule.

  • Questions?

    Call us at 972-550-8369 or email DrCraigWSpillman@gmail.com.

Telehealth Request Form

Preferred Days

Telehealth Informed Consent

Nature of Telehealth Services. Telehealth involves the delivery of counseling services using electronic communications, including video conferencing. Sessions are conducted over a HIPAA-compliant platform. The same professional standards that apply to in-person sessions apply to telehealth sessions.

Confidentiality. The laws that protect the confidentiality of your personal information also apply to telehealth. I will take reasonable steps to safeguard the privacy of our sessions. However, as with any electronic communication, there is a risk of unauthorized access. I will use a secure, encrypted platform to minimize this risk.

Risks & Limitations. Telehealth may not be appropriate for all situations. Technical difficulties (e.g., poor internet connection) may interrupt or prevent a session. In the event of a technical failure, we will attempt to reconnect or reschedule. Telehealth is not appropriate for crisis situations — if you are experiencing a mental health emergency, please call 988 (Suicide & Crisis Lifeline) or 911.

Your Rights. You have the right to withhold or withdraw consent to telehealth at any time without affecting your right to future care. You may request an in-person session at any time.

Technology Requirements. You are responsible for ensuring you have a private, secure location and a reliable internet connection for your sessions. You agree not to record sessions without prior written consent from your therapist.

Emergency Protocol. If you are in crisis during a telehealth session, your therapist will follow standard emergency procedures, which may include contacting emergency services at your location. Please provide a local emergency contact and your physical address at the start of each session.

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