| Adult Paperwork: |
ADOBE
PDF |
| Psychological
Services Agreement -
Adult |
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| Background
Information - Adult |
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| Adult Consent
to Treat |
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| Notice of
Privacy Practices |
|
|
| Child Paperwork: |
|
| Background Information - Child |
|
|
| Consent
to Treat Ages 14-17 with Parent Consent |
|
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| Consent
to Treat Ages 14-17 without Parent Consent |
|
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| Consent
to Treat All Ages Under 18 |
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| Psychological Services Agreement - Child |
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| Notice of Privacy Practices |
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| Insurance Paperwork: |
|
| Insurance
Verification Script |
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| Insurance
Information Form |
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| Authorization to Release Information: |
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| Authorization to Release Information |
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| Credit Card Authorization Forms: |
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| Credit Card
Authorization Form - Telephone or e-Therapy |
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| Credit Card
Authorization Form - 1st Session, Bills, co-pay |
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| Session Guarantee Contract |
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