• Consent Form

• Patient Registration

• HIPPA Notice of Privacy Practices *
  

• Credit Card Approval Form

*To see a full copy of the HIPPA Privacy Practices Law, click here.

Other forms which may be needed.

• HIPPA Release Form – So that I may talk to your attorney, physician, teacher school counselor or other third party.

• Telemedicine Informed Consent Form – If we will be doing a therapy on the telephone or over the internet, even for one session, I must have a signed copy of this form. Please print and sign.