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Mountains
PeaceCOMES FROM WITHIN

Helpful Forms

        You will fill out the necessary forms prior to your first appointment. Please arrive a few minutes early to your first appointment so that you will have time to complete your initial paperwork in a timely manner. 

  • Client Information Form
  • Consent for Treatment Form
  • Notice of Privacy Practices Form
  • Rights and Responsibilities Form
  • Attendance and Cancellation Policy Form
  • Consent to Release Information Form

        If you would like for me to coordinate care with another provider for you (for example, your physician, endocrinologist, etc.), please complete this form. If it will be more convenient, you may complete the Consent to Release Information Form at a later date in our office.

Consent to Release Information Form

 


Client Intake Form  
Confidentiality and Cancellation Policy  
Consent to Release  

Note: To download Adobe Acrobat Reader for free, click here.

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Helpful Forms

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