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 РAcknowledgement that you have had an opportunity to read our HIPAA policy.

Telebehavioral Informed Consent – Please sign to participate in Teletherapy

Teletherapy-Instructions – Please sign