Important Forms:
The forms below have been designed to inform you about my private practice and to assist me in understanding you and your needs. Please read them carefully, fill them out and bring them to our first session. I will review the completed forms with you and respond to any questions or concerns.
The forms below have been designed to inform you about my private practice and to assist me in understanding you and your needs. Please read them carefully, fill them out and bring them to our first session. I will review the completed forms with you and respond to any questions or concerns.
General Information Office Policies and Informed Consent | |
File Size: | 60 kb |
File Type: |
Client Information Form (Intake Form) | |
File Size: | 48 kb |
File Type: |
Authorization to Exchange Confidential Information | |
File Size: | 24 kb |
File Type: |
Good Faith Estimate | |
File Size: | 82 kb |
File Type: |
HIPAA Form | |
File Size: | 127 kb |
File Type: |
Informed Consent For Telehealth | |
File Size: | 156 kb |
File Type: |