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(Forms will open in new window)Patient-Psychologist Agreement Form
COVID-19 Informed Consent for In Person Treatment
Telehealth Informed Consent--Counseling Patients ONLY
Notice of Privacy Practices-HIPAA
Notice to all patients: Complete the following Authorization/Release Form if you wish to have your records released to or obtained from anyone. If you have questions about releasing your records or about how to complete this form, we will be more than happy to assist you at your initial appointment. If you are being referred by a physician, please know your physician typically requests records be sent to them, particularly if you are being referred for psychological or neuropsychological testing.