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These forms are for minor clients, those under 18 years old. Please click on the link below and submit or print, fill out, and email these forms prior to your first visit. Contact your provider with questions.

Minor Intake Packet

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Intake and Consent Form       Client’s Rights and Responsibilities             HIPAA                      Insurance Authorization

                                          Insurance Authorization

 

Notice of Privacy Practices               Release of Information                    Therapeutic Contract and Office Policies

notice-of-privacy-practices                                                                       Therapeutic Contract and Office Policies Form screenshot