PATIENT FORMS

Our version of the HIPPAA form that you have probably seen at other Dr.’s offices. Please review it here. You do not need to print a copy of this unless you would like to.

This form will be emailed to you. It needs to be filled out before your first session. The form includes some basic demographic questions, and a patient history form.

This form will be emailed to you. It needs to be filled out and signed electronically before your first session. The form includes:

  • Consent to the NPP – document that you sign to reflect that you have reviewed the NPP.

  • Client Information Contract – serves to inform you of the professional services and business practices of RBS.

  • Agreement to Pay for Professional Services – sets the fee for therapy.

  • Consent to Treatment – acknowledges that you understand the type of treatment being offered and wish to proceed.

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