Required before appointment Please complete all required forms prior to your appointment. Your cooperation is appreciated! DownloadElectronic Payment and Communications Disclosure If you wish, you may pay fees electronically – through funds transfer or using a payment card using any of the following services: • PayPal • Venmo • Therapy Notes DownloadHIPAA Compliance Patient Consent Form Our Notice of Privacy Practices provides information about how we may use or disclose. protected health information. DownloadIntake questionnaire DownloadLimits of Confidentiality Psychotherapy is confidential, with the below stated exceptions. DownloadNotice of Practice – Receiving Consent This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
