FORMS

Below are forms that are to be filled out prior to your first meeting. Feel free to download them, print & fill them out, and bring them with you to your 1st visit.  

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If you are requesting a telephone or skype session, and therefore not meeting in person for your first visit, please e-mail your request and the Client Information Form to dana@growthpointewellness.com  PRIOR to you first session.

CLIENT INFO FORM 

 

Practice Policies and Disclosure Statement  - Adult

 

Practice Policies and Disclosure Statement - Under 18

 

HIPAA PRIVACY NOTICE

 

HIPAA ACKNOWLEDGEMENT

 

INSURANCE INFO FORM

 

CONSENT/RELEASE (optional)