SCW Psychological, Inc.
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(786) 505-6576

Helpful forms from scw psychological

Below, for new and existing clients, we include important forms for your convenience. If, at any time, you have questions concerning these forms or SCW Psychological's practices and procedures, please contact us at (786) 505-6576 or info@scwpsych.com.

If you are a new client, we ask that you print and complete the following forms and return thme prior to your first therapy session:
  • New Client Intake Form
  • Consent for Treatment Form
  • HIPAA Notice
  • Electronic Payment Authorization, and
  • Authorization for Release of Information (if you would like SCW Psychological to consult with your other care providers)
  • Teletherapy Agreement & Informed Consent
We will discuss these forms at your first therapy session, therefore completing them beforehand will expedite the process. Also, please provide copies of your photo ID and your insurance card (if applicable).

New Client Intake Form
File Size: 119 kb
File Type: pdf
Download File

Consent for Treatment Form
File Size: 185 kb
File Type: pdf
Download File

HIPAA Notice
File Size: 134 kb
File Type: pdf
Download File

Electronic Payment Authorization
File Size: 99 kb
File Type: pdf
Download File

Teletherapy Agreement & Informed Consent
File Size: 106 kb
File Type: pdf
Download File

Authorization For Release of Information
File Size: 20 kb
File Type: pdf
Download File

Testing Consent & Agreement
File Size: 125 kb
File Type: pdf
Download File

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