Document Downloads

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Patient Documents

Below are links to all of the documents we may need during your initial intake.
Simply right-click on the link and save to your desktop, or just click each link to open and save to your desktop, print them out, complete and be sure to remember signatures on all forms, and bring them with you to your initial appointment. PLEASE remember to bring ANY INSURANCE cards as well.

1. Client Information Summary
2. Client Rights & Responsibilities
3. Contract For Services & Consent To Treatment
4. Email and Text Consent
5. Notice of Privace Practices
6. Authorization To Submit Insurance And Receipt of Privacy Practices
7. Release of Information

Document Downloads

Patient Documents

1. Client Information Summary 2. Client Rights & Responsibilities 3. Contract For Services & Consent To Treatment 4. Email and Text Consent 5. Notice of Privace Practices 6. Authorization To Submit Insurance And Receipt of Privacy Practices 7. Release of Information

1. Client Information Summary
2. Client Rights & Responsibilities
3. Contract For Services & Consent To Treatment
4. Email and Text Consent
5. Notice of Privace Practices
6. Authorization To Submit Insurance And Receipt of Privacy Practices
7. Release of Information