PRINT & SIGN #1
INSTRUCTIONS
Instructions for New Patient Intake Form
PRINT & SIGN #2
PRINT & SIGN #3
3) Please Sign One Option one the HIPAA/PHI Rights Explained Form
Matt Larson LCSW HIPAA/PHI Policy (see attached below)
PRINT & SIGN #1
INSTRUCTIONS
Instructions for New Patient Intake Form
PRINT & SIGN #2
PRINT & SIGN #3
3) Please Sign One Option one the HIPAA/PHI Rights Explained Form
Matt Larson LCSW HIPAA/PHI Policy (see attached below)