Prior to you first appointment, please read the

  • HIPAA Notice of Privacy Practices

Please complete and bring to your first appointment:

  • Receipt & Acknowledgement of Notice of Privacy Practices

  • Professional Disclosure Statement and Consent for Services

  • Client Information and Concerns Form

HIPAA Notice of Privacy Practices

Receipt & Acknowledgement of Notice

Disclosure Statement & Consent Form

Client Information & Concerns Form

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