FORMS TO READ (4)
Below you will find four various documents that you need to READ before your first appointment. This information will be reviewed at your first appointment at which time you can ask any questions about the forms. Your therapist will have you electronically sign the Consent to Use and Disclose Health Information (last form listed) at your first appointment.
Below you will find four various documents that you need to READ before your first appointment. This information will be reviewed at your first appointment at which time you can ask any questions about the forms. Your therapist will have you electronically sign the Consent to Use and Disclose Health Information (last form listed) at your first appointment.
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FORM TO COMPLETE (1)
After reading the documents above, COMPLETE the applicable form below, save it, and email it to [email protected] prior to your first appointment. It is beneficial to each therapist if the form is received at least one day prior to your appointment. However, email is not secure, so you may prefer to print and bring a completed hard copy form to your appointment instead.
After reading the documents above, COMPLETE the applicable form below, save it, and email it to [email protected] prior to your first appointment. It is beneficial to each therapist if the form is received at least one day prior to your appointment. However, email is not secure, so you may prefer to print and bring a completed hard copy form to your appointment instead.
| Child Information Sheet (up to 17 yrs of age) |
| Adult Information Sheet (18+ yrs of age) |
OTHER (1)
Other Information to Read/Review (Do not complete without discussing with your therapist). This form is used if you would like your care to be coordinated with your physician, psychiatrist, guidance counselor, teacher, counselor, pastor, or another professional.
Other Information to Read/Review (Do not complete without discussing with your therapist). This form is used if you would like your care to be coordinated with your physician, psychiatrist, guidance counselor, teacher, counselor, pastor, or another professional.
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