FORMS

Prior to your first appointment,

please complete and submit the client intake form

CLIENT INTAKE FORM
NOTICE OF PRIVACY PRACTICE
INFORMATION, AUTHORIZATION AND CONSENT FORM
PAYMENT CONSENT FORM
INSURANCE AGREEMENT
RELEASE OF INFORMATION FORM

ONLY FOR VIDEO AND TELEPHONE SESSIONS

TELEMENTAL HEALTH CONSENT FORM

Please try to have all forms completed prior to your scheduled appointment time.

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Thank You!