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FORM INDEX PAGE

INSURANCE FORM

click on the pdf icon and make sure to have signed either a). printed copy or b).digital signature

NEW CLIENT DEMOGRAPHIC

new client demographic

consent for treatment

CONSENT FOR TREATMENT

hippa 

Health Insurance Portability and Accountability Act (HIPAA) Privacy Notice.

HIPPA

confidentially & cancellation  

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CANCELLATION

release of information form

optional

RELEASE OF INFORMATION
BETSY 1

TELE- PSYCHIATRY TELE - THERAPY CONSENT 

TELE - PSYCH PHONE CALL

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