To save time, please print out and fill in the following three forms and bring them with you to your first counseling session.  If you are unable to print out the forms you can fill them in at your first session.

Please bring a photo copy of both sides of your insurance card if you want me to bill your insurance.

Please print:

1. Informed Consent and Statement of Understanding (4 pages)

2. Coordination of Care form

3. Acknowledgement of Receipt of HIPAA NOTICE OF PRIVACY PRACTICES and NOTICE TO CLIENTS

It is not necessary to print out but please read:

HIPAA NOTICE OF PRIVACY PRACTICES and NOTICE TO CLIENTS