Forms
Below you will find the standard forms to be completed before your inital session. I will review the highlights of these forms during our first session, however it is encouraged that you review the material in these forms and address any questions you may have with me during our first meeting.
Informed Consent to Treatment
Complete and return this form
Informed Consent to Treatment-2019.pdf
Adobe Acrobat document [285.1 KB]
Complete and return this form
Informed Consent to Treatment-2019.pdf
Adobe Acrobat document [285.1 KB]
Insurance Fee Agreement
Complete and return this form
Insurance Fee Agreement-2022.pdf
Adobe Acrobat document [375.7 KB]
Complete and return this form
Insurance Fee Agreement-2022.pdf
Adobe Acrobat document [375.7 KB]
Acknowledgement of Privacy and Media Policy
Complete and return this form.
Acknowledgement of Privacy and Media Pol[...]
Adobe Acrobat document [218.6 KB]
Complete and return this form.
Acknowledgement of Privacy and Media Pol[...]
Adobe Acrobat document [218.6 KB]
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