Important Forms to Complete
The following forms are required to be completed prior to your first appointment. You may simply download, review, and sign the forms at your leisure and bring them with you to your first appointment, or arrive at 30-45 minutes prior to your appointment to complete them. Scroll down below to download the forms.
1. Informed Consent & Counseling Services Agreement
2. Patient Stress Questionnaire
3. Client Data Form
| informed_consent_counseling_services_agreement_march_2017.rtf |
| client_data_form_march_2017.rtf |
| patient_stress_questionnaire.pdf |
You'll also find at the very bottom a document that I am required to share with you about privacy because of a federal law, the Health Insurance Portability and Accountability Act of 1996 (HIPAA). HIPAA requires me to keep your Health Information private and to give you this notice about my legal duties and my privacy practices. It is not necessary to print this form. I will provide you the form when we meet and/or you may also view it below.
| hipaa_notice_of_privacy_practices_july_2015.docx |