Forms

Please carefully review the following forms prior to our first appointment. If you are comfortable with the information outlined in these forms, please print out an extra copy of the last page of each form, the signature page, and bring those sheets signed to the first appointment. If you have any questions or concerns regarding any of my policies or practices, please do not hesitate to call me in advance so we can discuss them.
 

HIPAA Notice of Privacy Practices

Office Policies & General Information Agreement

Treatment Agreement Addendum: Confidentiality Regarding Work with Minors (Not a required form—you will be informed if this form is pertinent to your situation)

Authorization to Release Protected Health Information

Client Consent and Limits of Confidentiality Related to Tele-therapy services