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  New Patient Forms

Confidentiality

It is important to know that there are a few exceptions to confidentiality. I am mandated by law to report the following exceptions:

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  • If you are in danger to cause harm to yourself or others. 

  • If you threaten harm to yourself or others.

  • If a child or elder is being abused or neglected.

   Helpful Forms

 

 

 INTAKE FORM

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HIPPA PRIVACY NOTICE

 

 

      INFORMED CONSENT

HIPPA CLIENT RIGHTS

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