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Forms
To allow for more time during our session, please print and fill out these forms in advance and bring them to your first appointment. If you have any questions, feel free to contact me at
[email protected]
.
*New Client Information Form
*Information and Consent to Treatment
*Insurance Information Form
*
Privacy Practices (HIPPA) Consent Form
Notice of Privacy Practices (HIPAA)
- just read, no need to print!
Release of Information Form
- Complete as needed to give permission to contact another provider.
*required forms to begin sessions
Home
About
About Lynette
Location
Services
Therapy
Consultation
Adoption Support
Parenting Support
Art Therapy Supervision
Fees & Insurance
Forms
Resources
Contact