RESPECT AND CURIOSITY
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1) Parent Questionnaire MINOR (younger than 18yrs) clients only - please COMPLETE AND BRING to first appointment
2) HIIPA Please READ prior to first appointment 3) HIIPA Acknowledgement Please COMPLETE AND BRING to first appointment 4) Policies and Procedures Please READ prior to first appointment 5) Agreement for Services and Consent for Emergency Care Please COMPLETE AND BRING to first appointment 6) Email and Social Media Policy Please COMPLETE AND BRING to first appointment 7) Credit Card on File Authorization For clients who wish to pay by Visa, Mastercard, Discover, Amex, or HSA card. 8) Authorization for Disclosure For use as needed 9) Adult Questionnaire ADULT clients only - Please COMPLETE AND BRING to first appointment 10) Teletherapy Consent Form For clients who are arranging to visit with their therapist ONLINE. | ||
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