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 [email protected].
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:
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
New Client Intake Form | |
File Size: | 119 kb |
File Type: |
Consent for Treatment Form | |
File Size: | 185 kb |
File Type: |
HIPAA Notice | |
File Size: | 134 kb |
File Type: |
Electronic Payment Authorization | |
File Size: | 99 kb |
File Type: |
Teletherapy Agreement & Informed Consent | |
File Size: | 106 kb |
File Type: |
Authorization For Release of Information | |
File Size: | 20 kb |
File Type: |
Testing Consent & Agreement | |
File Size: | 125 kb |
File Type: |