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You will need to have Adobe Reader installed on your PC to view these forms. It is a free download from Adobe. |
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Driving Directions
GPS/online maps may lead you to an inaccurate location, so please download our PDF map. |
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New Patient Instructions
This contains information and required forms for new patients. This must be completed by the patient and received by our office in order to schedule your appointment.
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Policies and Procedures and
Notice of Privacy Practices
The "Notice of Privacy Practices" describes how we are required to use your information. The "Policies and Procedures" explains more about our office policies. You do not need to print out these unless you desire to do so; just make sure you read and understand them. You will sign acknowledgment of receipt of these at the time of appointment.
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Authorization for Disclosure of
Protected Health Information
This is optional and only needed if you want us to share your information with your primary care physician, therapist, spouse/family member, and/or anyone else. You only need to print this and fill it out if you want us to share information. If so, make sure to fill in their name/contact info on #3 of this document and bring it to your first appointment. If other providers have information that you feel would be important for us to have, please have them fax such records to
(502) 425-6629 (examples included hospitalization records, psychological testing results, therapy notes, previous treatment records, etc.) prior to your appointment. |
