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Below are standard forms I use in my practice. They may be printed and filled out by hand, or you may type your information, then print the document. You will need Adobe Reader to open the files. If you don't have it, you may download it at no cost.
This document contains important information about my professional
services and business policies. Please read it carefully. When you
sign this document, it will represent an agreement between us. INFORMED CONSENT FOR TELETHERAPY This Informed Consent for Teletherapy contains important information focusing on doing ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF INFORMATION PRACTICES
This document acknowledges that you have
received the "Therapy Services Agreement" and explains the legal
standards for record keeping and access to records in the effort to
protect the privacy of your personal health information. get document >> get document >>
This document not only provides the information
necessary to properly bill your insurance company, it asks for
additional details that will assist in developing the best therapy
services for a patient under the age of 18. |
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҉ MEET ANNE ҉ SERVICES ҉ CONTACT ANNE ҉ PATIENT FORMS ҉ RESOURCES |
