Forms

Client Information

Intake form for new clients to complete or for clients to update their information.


Client Rights

Privacy policies and client rights acknowledgement.


Contract for Services

Services and fees agreement.


HIPAA

Health Insurance Portability and Accountability Act, a US law designed to provide privacy standards to protect patients’ medical records and other health information provided to health plans, doctors, hospitals and other health care providers.


Informed Consent for Emergencies

An agreement to contact other mental health services in the event of an emergency if Jennifer is not available.


Informed Consent to Treatment

An agreement for psychotherapy treatment.


Insurance Form

Form to provide insurance information.


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