I look forward to meeting with you soon. Please complete this paperwork prior to our meeting so that we will not have to take time in our session to address these administrative details.
- Patient Information Sheet
- Letter of Agreement
- Signature Page for HIPAA
- Notice of Privacy Practices (HIPAA)
- Right to Receive a Good Faith Estimate of Expected Charges
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Note: To download Adobe Acrobat Reader for free, click here.
