FORMS

The following forms are to be printed and signed before your first appointment:

1. HIPAA Privacy Policy
   DOWNLOAD FORM
2. Release of Information
   DOWNLOAD FORM
3. New Client Agreement
   DOWNLOAD FORM
4. Acknowledgments
   DOWNLOAD FORM
5. New Client Registration
   DOWNLOAD FORM

ALL INFORMATION IS KEPT STRICTLY CONFIDENTIAL

Clinical information is kept either physically secure or on a secure, encrypted web server which is compliant with U.S. federal health information technology standards (HIPAA)

Absolute confidentiality is assured. Information is only shared under the following circumstances:

1. Under the client's direction & written consent
2. For the coordination of emergency health care where obtaining proper consent is either impossible or would cause such a delay that harm would ensue
3. To guard against imminent danger to the safety of an adult or child
4. Under the direct order of a judge or court

For more information, download our complete privacy policy, above.

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