Required Forms
Please print out copies of the following forms and return them to me prior to your first visit.
- Consent to Use Unencrypted E-mail or Text
- HIPAA Notice of Privacy Practices
- Informed Consent
- Client Intake
- Telehealth
- Credit Card Authorization Form
DEA Employees Assistance Program Forms
- Statement Of Understanding And Consent
- Client Satisfaction Survey Authorization
- Consent To Use Teletherapy Or Telephone Sessions