Client Forms
Please read the following forms prior to the first appointment:
- Outpatient Services Contract
- Informed Consent for Telepsychology
- Notice of Policies and Practices to Protect the Privacy of your Health Information
- Your Rights and Protections Against Surprise Medical Bills
I will direct you on which of these forms to fill out and return:
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- Psychological Services Agreement
- Adult Patient Questionnaire
- Parent Questionnaire for Child Treatment
- Authorization to Release Protected Health Information