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Resources

We understand the importance of providing valuable resources to our clients. That's why we have compiled a list that can help East Texas residents in their healthcare journey. From downloadable educational materials to local resources and therapeutic games, our resources are designed to empower our clients and improve their overall experience. 

Downloads

Out-Of-Network Benefits Script

Use this to contact your insurance about out-of-network benefits and superbiling.

Client Paperwork

Welcome to Mind & Motion! To get started, please print and fill out the necessary paperwork before your first appointment. Bring the completed forms with you to ensure a smooth and efficient visit. We look forward to seeing you soon! â€‹*Note- If you have filled out the paperwork through the client portal, you do not need to fill out this paperwork. 

Electronic Communications Consent

This provides essential information about electronic communications, including phone calls, SMS messaging, and emails. It outlines the expectations and responsibilities between you and your provider. 

HIPAA

This form includes information to help understand your rights regarding your protected health information, your rights, and how Mind and Motion, PLLC works to maintain your protected health information. 

Informed Consent
& Office Policies

This document outlines our office policies and expectations to ensure a smooth and respectful experience for our clients. We prioritize clear communication, confidentiality, and mutual respect. Please take a moment to review these policies, as they help us maintain a professional and supportive environment.

Client Registration

For this paperwork, be prepared to fill out background information, medical history, and insurance information.

Release of Information

This form is to allow your provider to talk to others such as doctors, psychiatrists, or family members. It is used to coordinate care for the individual. It is valid for one year and can be revoked at any time. 

Court Fees

This form only needs to be signed if you are currently or plan to be involved in court proceedings. 

The Breakroom
Consent

The Breakroom is our sensory room! This form only needs to be signed if you or your child use The Breakroom at Mind and Motion. 

Community & Online Resources
**CLICKABLE LINKS**

Navigating available resources can be difficult and overwhelming, especially when seeking support for psychological testing, food assistance, and other essential services. We’ve compiled a comprehensive list of resources to help East Texas residents enhance their quality of life. Whether you’re in need of immediate assistance or looking for ongoing support, these resources are here to guide you. 

Crisis

If you are in immediate danger, call 911. 

 

Domestic Violence Hotline - Call, Chat, or Text

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Crisis Line - Text "HOME" or "HOLA" to 741741 to connect with a crisis counselor 

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The Trevor Project - Crisis intervention for LGBTQ+ Text "START" to 678-678

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Gateway to Hope - Access to daily living necessities including showers, laundry, computer

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​988 Lifeline - 'If you need to talk, the 988 Lifeline is here." Call or text 988 (Suicide & Crisis Lifeline)​​

Clothes & Household Items

Tyler Thrift

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Hangers of Hope - 3 Tyler locations

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Tyler Family Assistance Center - The first Saturday of each month from 8:30am-11am

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Housing

Hiway 80 Rescue Mission

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PATH - People Attempting To Help - Rent and utilities assistance, transitional housing

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East Texas Cares Resource Center

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The Salvation Army - Emergency and transitional housing, emergency utilities and rent assistance

Substance Use 

Resolutions Healthcare - Residential, PHP, and IOP​​

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​988 Lifeline - 'If you need to talk, the 988 Lifeline is here." Call or text 988 (Suicide & Crisis Lifeline)

 

 

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I agree to receive text messages from Mind and Motion, PLLC. As a current or prospective customer you understand that you can text us STOP at any time to opt out of receiving SMS text messages from us. Your mobile information will not be shared with any third parties/affiliates for marketing/promotional purposes. All policies are followed as per CTIA guidelines 5.2.1. At any time if you want your information to be removed, you can contact us via our email address or regular mail.

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