
Individuals
*Individual Intake
*Notice of Privacy – HIPAA – must be read prior to first appointment
*Notice of receipt of Privacy statement – Signature page to bring with intake forms to first appointment.
Couples
*Couple’s intake form
*Couple’s No Secrets Agreement
*Notice of Privacy – HIPAA – must be read prior to first appointment
*Notice of receipt of Privacy statement – Signature page to bring with intake forms to first appointment.
Additional Forms
*Release of information