Client Forms
New clients will need to fill out several forms before therapy can begin. To make the process as smooth and efficient as possible, these documents may be downloaded from the below list. Naturally, all forms are also available at the office but filling them out in advance saves time if you are able to. You will need Adobe Reader to view these PDF files. If you do not have it, you can download it here for free.
For anyone interested in paying for sessions witout using insurance, please see the form below entitled Good Faith Estimate Agreement.
All the forms with an * listed below are required for all clients. If you are unsure which forms you need to fill out, please don't hesitate to contact me.
Mandatory Disclosure Consent for Tx - I[...]
Adobe Acrobat document [400.5 KB]
Cancellation and No Show Policy - IWS.pd[...]
Adobe Acrobat document [339.1 KB]
TeleTherapy Agreement Consent - IWS.pdf
Adobe Acrobat document [355.1 KB]
For clients who are Self-Pay (i.e.: people wo are not usin insurance) the following form includes options in accordance to Good Faith Estimate requirements:
Self-Pay Good Faith Estimate - IWS - 202[...]
Adobe Acrobat document [355.1 KB]
This form is not required for all clients, but is included if needed.
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