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Helpful Forms

 If you're a first-time client, please review and complete the following forms that apply to you and bring them to your first session.

  • Adult Questionnaire
  • Adult Informed Consent
  • Minor Questionnaire
  • Minor Informed Consent
  • Hipaa Notice of Privacy Practices
  • Hipaa Authorization to Disclose Protected Health Information

PDF FORMS

Adult Questionnaire To be completed for new adult clients
 Adult Informed Consent To be completed by all new adult clients
 Minor Questionnaire To be completed for new minor clients
 Minor Informed Consent To be completed for new minor clients
Hipaa Privacy Practices  To be completed for all new clients
Consent of Non-Secure Forms  To be completed for all new clients
Authorization of PHI  To be completed for all new clients

Note: To download Adobe Acrobat Reader for free, click here.


 

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Helpful Forms

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