Forms
All forms must be received prior to scheduling appointments and/or initiating services. Forms with computer-generated signatures will not be accepted.
- Client Information Form (required)
- Case History Form (required)
- Health Insurance Portability and Accountability Act (HIPAA-Privacy Rights) (keep for your files)
- HIPAA Acknowledgment Form (required)
- Credit Card Authorization Form (required- all information must be completed)
- Release of Information Form (required if you want us to share/exchange information with another professional/agency)