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Forms
file icon Acknowledgement Receipt Notice of Privacy Practiceshot!

Acknowledgement of Receipt of Notice of Privacy Practices

file icon Agreement For Parentshot!

Parental Consent form for treatment of minor patients

file icon Coordination of Care Releasehot!

Coordination of Care with Primary Care Physician

file icon Fee / Payment Schedulehot!

Therapeutic Fee/Payment Schedule

file icon HIPPA Notice of Privacy Practiceshot!

HIPPA Notice of Privacy Practices

file icon Insurance Informationhot!

Insurance Information and Release Form

file icon Joint Custody Treatment Contracthot!

Treatment Contract for Parents with Joint Custody of Minors

file icon Patient HIPPA Consent Formhot!

Patient HIPPA Consent Form

file icon Patient Recordhot!

Patient History and Record


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