Notice of Privacy Practices

Please review this notice carefully.

• Notice of Privacy Practices

Client Forms

Please fill these out and bring them with you to your first appointment.

• Receipt and Acknowledgment of Notice of Privacy Practices
• New Client Information Form
• Outpatient Services Agreement
• Child/Adolescent Information Form
• Insurance Verification Form
• Mental Health Release of Information Authorization Form
• Substance Abuse Release of Information Authorization Form

Other Resources

• Pam in the News
• Behavior Change Presentation
• “Tricks Foods Play” by Janet Raloff