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Green Hills with Blue Sky

Helpful Forms

Step One: Before the first session, please print and fill out the following forms, and bring them with you.

  • Information
  • Disclosure

Step Two: If your child or adolescent is a new client, please print and fill out the following form, and bring it with you.

  • Consent For Minors
Step Three: Read the HIPAA Notice regarding your Protected Health Information.

You are done!

Information
userfiles/1348645/file/Information3.pdf
 
 Disclosure of Policies
userfiles/1348645/file/Disclosure3.pdf
 
Consent for Minors
userfiles/1348645/file/Consent%20(Minors)3.pdf 
 
HIPAA Notice
userfiles/1348645/file/HIPAA3.pdf
 
   

 

 


Note: To download Adobe Acrobat Reader for free, click here.


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Helpful Forms

Click here to view and print forms for your appointment.

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