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About Julie

Services

Clinical Hypnosis

Telemental Health

Forms

Map

Forms:

• Notice of Privacy Practices
  

• Patient Information
  

• Medical History
  

• Rating Scale
  

• Patient Record of Disclosures
  

• Service Agreement
  

• Telemental Health Services
  

Click on the title of each form and then click on the print Icon in Adobe in order to print the form. Once printed, please complete each form and bring all paperwork to your first appointment. Clients may also fax or email completed paperwork if preferred. Taking the time to have your paperwork complete before arriving at the office will allow you to maximize your time in session. Thank you!

All forms are in Adobe format. Click here if you need to download Adobe Reader.