There Is Always Paperwork
Intake Paperwork
To help me get to know you, the following files need to be completed before the first session.
Intake Questionair
Open PDF file, Print and fill out Standard Intake Questionair.
Credit Card Authorization
Open PDF file, Print and fill out Credit Card Authoriazation.
Informed Consent
Open PDF file, Print and fill out Client Informed Consent.
Notice of Privacy Practice
Open PDF file, Print and fill out Notice of Privacy Practice.
Telehealth Informed Consent
Open PDF file, Print and fill out Telehealth Informed Consent.
Release of Informaiton
Open PDF file, Print and fill out for each person you want me to talk toTelehealth Informed Consent.
To be able to talk about to another professional I will need your permition, unless it is covered under the reasons I have to break confidentiality. See Privacy Practice.