Adult Registration Form
Adult Registration PacketPlease complete this packet before your first session. It gathers important background, contact, and consent information to help your therapist get to know you and start your care smoothly.
HIPAA Notice of Privacy Practices
HIPAA NOTICE OF PRIVACY PRACTICES As required by the Privacy Regulations Promulgated Pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. This Notice of Privacy Practices …
Consent & Service Agreement
Consent and Agreement for ServicesThis form explains our policies, your rights as a client, and what you can expect from therapy. By signing, you acknowledge that you understand the services we provide and agree to participate in treatment under these guidelines.
Annual Update Form
Annual Update FormEach year, we ask our clients to complete an Annual Update Form to ensure we have the most accurate and up-to-date information on file. This helps us: Completing the form takes just a few minutes and allows us to serve you more smoothly throughout the year. Q: When do I need to complete …