| Adult Paperwork: |
ADOBE
PDF |
| Psychological
Services Agreement -
Adult |
|
|
| Background
Information - Adult |
|
|
| Adult Consent
to Treat |
|
|
| Notice of
Privacy Practices |
|
|
| Insurance Paperwork: |
|
| Insurance
Verification Script |
|
|
| Insurance
Information Form |
|
|
| Authorization to Release Information: |
|
| Authorization to Release Information |
|
|
| Credit Card Authorization Forms: |
|
| Credit Card
Authorization Form - Telephone or e-Therapy |
|
|
| Credit Card
Authorization Form - 1st Session, Bills, co-pay |
|
|
| Session Guarantee Contract |
|
|
| |
| |
