Please click on and read the two PDF forms below:
· Consumer Notice of Rights and Responsibilities
The “Consumer Notice of Rights and Responsibilities” includes important information that you need to know about your rights and responsibilities as a consumer of mental health services. The “Notice of Privacy Practices” includes important information pertaining to HIPAA privacy laws and the protection of your health information.
You may preregister for your first appointment by printing out and completing the two PDF forms below:
· Acknowledgement of Receipt of Notice of Privacy Practices
After you have printed and completed the forms, please make sure to bring them to your first office visit. The security and privacy of your personal data is a primary concern and every precaution will be taken to protect this information. I look forward to meeting you to discuss how I can help.