These are the forms I use in my practice.
- Registration Form
- Client Data Sheet
- New Client Information (Consent Form)
- Consent to Use and Disclose Your Health Information
- Notice of Privacy Practices
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
- Authorization to Disclose Information Form
/userfiles/910176/file/Client Registration Form Paragon.pdf
client-data-sheet-pdf-good.docx
new-client-brochure-final-2022.docx
authorization-to-disclose-info.docx
/userfiles/910176/file/Form 23-NPP Consent Form ELW(1).rtf
notice-of-privacy-practices-short.doc
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