NEW CLIENT FORMS

ADULT CLIENTS

New Adult Client Form

Information For Client

HIPAA Notice (To Sign)

HIPAA Notice (Client Copy)

Credit Card Agreement

MINOR CLIENTS

New Minor Client Form

Consent To Treat Minor

Information For Client

HIPAA Notice (To Sign)

HIPAA Notice (Client Copy)

Credit Card Agreement

To complete your new client forms, please:

Download the fillable PDF forms and fill them out, save the completed forms as PDF files on your computer, and email those forms to me at trishparker916@gmail.com.