Authorization to Disclose Protected Health Information
Signed when a patient requests protected health care information be disclosed regarding treatment. This form must be signed before any information is shared between parties.
This questionnaire is an important part of providing you with the best possible care. Answering these questions will help in understanding some of the concerns you may have.
It is amazing what products caffeine is, how much is in it, and the affects caffeine can have on the body. It can impact sleep, anxiety, and depression to name a few. Filling out this questionnaire can help provide better care.
Consent to Psychotherapy Treatment
Ethically therapists should obtain the informed consent of patients prior to treatment as a best practice. “Best practices” are those practices therapists engage in that are designed to ensure the therapist meets the best standard of care.
This notice describes how medical information about you may be used and disclosed. Please take a moment and review it carefully.
This information is not intended to be a substitute for professional advice and/or psychotherapeutic counseling.


