Client Package (Required)

Download, print, complete and bring with you to your first appointment

 

• Client Intake Packet Form

• Counseling Fee Agreement

 

Adult Patient History

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Pediatric Patient History

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Insurance Form (Optional)

If you would like us to file an insurance claim with your insurance provider, complete this online form and submit at least three (3) business days prior to your first appointment.

 

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Documents For Your Review

• HIPAA - Notice of Privacy Practices

• Clients Rights Notice

• What to Expect In Your First Session