IMPORTANT: If you're a new client, you MUST complete the following SIX forms and bring them to your first therapy session.
- Limits of Confidentiality/Therapy
- Statement of Financial Responsibility
- Developmental History Questionnaire (please complete only if child/adolescent patient)
- Self-Assessment Form
- Cancellation Notice
- Prior Authorizations & Letters
- HIPPA Notice of Privacy Practices
- HIPPA Privacy Signature Form
- HIPPA Privacy Request Form
- Informed Consent for Treatment
- Duty to Warn NJ Law (Updated June 2018)
- PATIENT IN-PERSON RULES AND REGULATIONS DUE TO COVID-19
- PATIENT IN-PERSON APPOINTMENT WAIVER DUE TO COVID-19
This is so I can give you the best treatment that you certainly deserve!