Terri Lively

Terri Lively

Licensed Clinical Social Worker (LCSW)

New patients

Please call 281-494-9100 to set up your first appointment.

On your first visit, please either arrive 20 minutes early to complete information forms, or download the new patient forms below to fill out prior to your visit.

Sugarcreek Psychotherapy New Patient Form Package (Fillable PDF)

Sugarcreek Psychotherapy HIPAA Notice of Privacy

Please fill out the forms either by hand or feel free to type your information using Adobe Acrobat, then print and sign. You can save your information to the file if you fill out the forms electronically.

The HIPAA acknowledgement will need to be filled out by hand.

Get Reader

Download Reader here if needed

Bring the completed forms with you on your first visit.

I look forward to working with you. Please let me know if you have any questions.