Please review, sign and bring the following forms with you to your first appointment.
General Policies – Sign on back to acknowledge limitations of confidentiality, and authorize billing of insurance company.
Fee Agreement – Acknowledgement that you are personally responsible for payment for your treatment.
Client Registration – Contact and insurance information.
Authorization For Communication – Acknowledgement that you have had an opportunity to read our HIPAA policy.
Telebehavioral Informed Consent – Please sign to participate in Teletherapy
Teletherapy-Instructions – Please sign