Hi, welcome! Glad to have you here. Here are the forms you need to sign for us to work together.
For any work that we do together…
- Practice Policies Agreement allows us to work together with clear expectations.
- Financial Responsibility Agreement makes clear who pays for services.
If you want health insurance to cover services…
- Insurance Verification Form allows me to provide you an estimate of your insurance coverage for services.
- Release of Information allows me to send and receive information with a doctor or counselor.
- Occupational Therapy Consent informs you about using therapeutic activities to meet your goals.
- Telehealth Consent Form allows us to meet using video conferencing software.
Things you should know…
- Notice of Electronic Communication Policies lists the benefits, risks, and policies regarding communicating with email and text messaging.
- Notice of Privacy Practices lists the rights and laws regarding private health information.