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 Dr. Ray Austin's forms

Here you will find links to forms that you will need to print out, complete, and mail before your first appointment with Dr. Austin. 
Please click the following three links to download all necessary application forms.

Child and Adolescent Information

Office Policies

Privacy Practices

Fee Schedule 
  • Initial interview/Intake (55-60 minutes)               $160.00
  • Therapy session (40-50 minutes)                        $140.00
  • Therapy session (55-70 minutes)                        $175.00
  • Psychological testing (administration of tests, scoring and interpretation of tests, time to write report)                                                  $150.00/hour
  • Court appearance (including time to prepare for testimony)            $250.00/hour                                                      


Dr. Austin accepts cash, checks, and credit/debit cards (Visa, MC, AMEX, and Discover).


Flexible payment options are available so please do not let insurance issues prevent you from seeking care. 


If you prefer to mail in your credit card information, please click the link below to print the form to mail. You may also fax it to (877) 349-4909. 



Click here to download Payment Option form

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