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Laptop and Paperwork

New Feature: Complete and Submit Paperwork Online

Requirements for Initial Session:

  • Telemental Health Consent Form
  • Intake Paperwork*
  • Verification of your Identity (ex. photo-id, driver's license, SS card, passport, etc.) *Link to submit included in intake paperwork
  • Insurance card (front and back), if using insurance to cover session costs *Link to submit online with intake paperwork

Additional Form:

Printable Forms

Intake packet (information required for the initial session):

Notice of Privacy Practices (detailed information regarding government policies and regulations to protect your health information):

Release of Information Form (this form is used to provide authorization for release of protected health information to/from others):

Emergency Resources (list of available contacts to assist those who may be experiencing a crisis)


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