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Download Forms & Handouts

Forms

NC Forms – New client documents for people seeing me the first time.

CC Form – Authorization to charge credit card.

HIPPA Policy – My office Notice of Policies and Practices to Protect the Privacy of your Health Information.

Release of Confidential Information – Authorization to release information about you to another person.

Supervision Log – Excel worksheet for interns to log their clinical and supervision hours.

Handouts

Curriculum Vitae (CV) – My detailed resume.