Forms

The following forms are required for new patients and include consent and/or relate to privacy practices.

 
 

 
 
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HIPAA NOTICE OF PRIVACY PRACTICES

Policies and Practices to Protect the Privacy of Your Health Information. This notice describes how psychological and medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

 
 

 
 
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CLIENT INTAKE FORM

The following form is required for new patients.

 
 

 
 
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CHILD AND ADOLESCENT INTAKE FORM

The following form is required for new patients under the age of 18.