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Resources
Notice of Privacy Practices
The privacy of your
health information is important to me. I will maintain the privacy of your
health information and will not disclose your information to others unless
you tell me to do so, or unless the law authorizes or requires me to do so.
A federal law
commonly known as HIPAA (Health Information Portability and Accountability
Act of 1996) requires that I take additional steps to keep you informed
about how I may use information that is gathered in order to provide health
care services to you. Please read the attached document that explains this
in detail. I will give you a copy of this notice when we begin treatment.
Notice of Privacy Practices
Disclosure Statement
This document describes the basic elements of my practice – qualifications,
therapy process, billing practices, contact information, course of
treatment, and your rights. The attached statement provides all the details
of this information. I will give you a copy of this statement when we begin
treatment.
Disclosure Statement Document
Client
Information Form
Please download and print this form. Fill it out and bring it to
your first appointment. Completing this necessary paperwork
before your appointment will save us time.
Client Information Form
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