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Our Forms

*New Patients: Please download, complete and return all of forms in the 'Intake Packet' before your first appointment either by text, email or by turning them in at your intake appointment.

Release of information form will need to be downloaded and completed separately, if you choose to share information between providers

*New Patient

Intake packet

This packet includes:

 

  • Client Intake

  • Healing Arts, LLC informed consent

  • HIPAA consent

Substance Abuse Assessment

Complete and submit this form if you find this information important for provider to know or if provider ask you to do so.

Release of Information

Submitting this form will allow any communication  and/or sharing of progress notes and records between your outside providers and your Healing Arts, LLC provider.

Complete a separate form for each outside provider.

Extra Forms

New Client Registration

HIPAA

Informed Consent

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