New Patient Forms

PRINT & SIGN #1

1) New Patient Intake Form

INSTRUCTIONS

Instructions for New Patient Intake Form

PRINT & SIGN #2

2) Telehealth Waiver Form

PRINT & SIGN #3

3) Please Sign One Option one the  HIPAA/PHI  Rights Explained Form

Matt Larson LCSW HIPAA/PHI Policy (see attached below)

HIPAA Policy and Patient Rights Explained