Please print and complete the following documents and bring to your first session. I will be happy to review each document with you and answer any questions that you may have.
Authorization for Release of Protected Health Information | |
File Size: | 44 kb |
File Type: | doc |
Client Rights | |
File Size: | 32 kb |
File Type: | doc |
Informed Consent | |
File Size: | 43 kb |
File Type: | doc |
Key Contact Sheet | |
File Size: | 31 kb |
File Type: | doc |
Limits of Confidentiality | |
File Size: | 28 kb |
File Type: | doc |
HIPAA Notice of Privacy Practices | |
File Size: | 30 kb |
File Type: | doc |
Policy for Additional Paperwork | |
File Size: | 27 kb |
File Type: | doc |
Adult Intake Form | |
File Size: | 51 kb |
File Type: | doc |
Child and Adolescent Intake Form | |
File Size: | 32 kb |
File Type: | doc |
Child and Adolescent Checklists
Child/Adolescent Drugs or Alcohol Checklist | |
File Size: | 35 kb |
File Type: | doc |
Child/Adolescent Self-Esteem Checklist | |
File Size: | 35 kb |
File Type: | doc |
Child/Adolescent Depression Checklist | |
File Size: | 32 kb |
File Type: | doc |
Child/Adolescent Anger and Aggression Checklist | |
File Size: | 34 kb |
File Type: | doc |