*PLEASE PRINT AND COMPLETE THESE FORMS; YOU CAN SCAN AND EMAIL THEM BACK
TO ME OR BRING THEM TO YOUR NEXT SESSION.
*YOU ONLY NEED TO COMPLETE THE FINAL FORM IF YOU ARE USING INSURANCE TO
HELP COVER SESSIONS WITH ME.
*PLEASE KEEP THE DISCLOSURE STATEMENT AND NOTICE OF PRIVACY PRACTICES
FOR YOUR RECORDS; YOU ONLY NEED TO SEND ME THE FORMS THAT ACKNOWLEDGE
THEIR RECEIPT. THANK YOU!