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HIPPA Policy

Please print out, sign, and bring the Client Registration form with you to your first visit.

Please print out, sign, and bring page 5 with you to your first visit

Release of Information

If you would like me to communicate with someone please print out, complete form (including their name & number) and bring with you to your first session.

*NOTE: You can add more Releases at any time during our work together. You may also end a Release verbally or in writing at any time.

Client Registration
Form