If you are an adult and have an upcoming appointment for yourself, please:
If you are bringing in a child or adolescent, please:
- Read the Treatment Guidelines & Office Policies, the HIPAA Notice of Privacy Practices, and the Teletherapy Informed Consent. * You will be asked to sign a treatment consent form at the intake appointment which states you have read and agree to the statements in these documents.
- Print and complete the Registration Form and the Adult Intake Questionnaire and bring the completed forms with you to your first appointment.
- If you would like me to contact your primary care physician or any other provider to collaborate on your care, please complete the Exchange of Information form.
If you are bringing in a child or adolescent, please:
- Read the Treatment Guidelines & Office Policies, the HIPAA Notice of Privacy Practices, the Child and Adolescent Informed Consent, and the Teletherapy Informed Consent. * You will be asked to sign a treatment consent form at the intake appointment which states you have read and agree to the statements in these documents.
- Print and complete the Registration Form and the Child & Adolescent Intake Questionnaire before your first, parents only, appointment.
- If you would like me to contact your child's primary care physician or any other provider to collaborate on their care, please complete the Exchange of Information form.
Thank you for filling out this paperwork and bringing it with you to your first appointment!
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