FORMS TO READ
Below you will find four various documents that you only 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 (4th form listed) at your first appointment.
Below you will find four various documents that you only 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 (4th form listed) at your first appointment.
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FORM TO COMPLETE
After reading the documents above, COMPLETE the applicable form below, save it to your device, and email it to [email protected] prior to your first appointment. It is helpful to your therapist if the form is received at least one day prior to your appointment. However, since 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 to your device, and email it to [email protected] prior to your first appointment. It is helpful to your therapist if the form is received at least one day prior to your appointment. However, since 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 age 17) |
| Adult Information Sheet (18+ years of age) |
If you have compatibility issues, try downloading the free Adobe Acrobat Reader by clicking here or on your applicable app store.
OTHER
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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