Downloadable Forms (Instructions)

Upon receiving your passcode, please print and complete the following forms and bring with you for your first session.  Please note that the Informed Consent Form will be emailed to you separately with your payment information:

Print and Complete -

Client Information Form -

/uspf/33539375/files/Client%20Information%20Form.doc

Release of Information Form -

/uspf/33539375/files/Release%20of%20Information.doc

Self-Care Plan -

/uspf/33539375/files/Self-Care%20Plan.doc

For Your Review -

Please download and review this form for your records / No need to bring in this form - 

HIPAA Notice of Privacy Practices

/uspf/33539375/files/HIPAA%20Notice%20of%20Privacy%20Practices.pdf

 


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