Forms
Download, print, and fill out relevant forms before your appointment. Save a copy for your own records if needed.
Adult Intake Form one per each adult if coming in as a couple or family
Treatment Contract/Informed Consent Form
HIPAA - Protected Health Information
HIPAA - Acknowledgement of Receipt of Notice of Privacy Practices this signature page verifies that I have offered you a copy of the HIPAA notice [the federal Health Insurance Portability and Accountabilty Act is about protecting your private health records]
Your vision will become clear only when you can look into your heart.
Who looks outside, dreams. Who looks inside, awakens.
~ Carl Jung