top of page
CLIENT FORMS
INTAKE FORM
An intake form will be sent once the first appointment is scheduled. The form asks about history and background. Please complete and return prior to our first meeting.
CONSENT FORM
A consent form will be sent once the first appointment is scheduled. It reviews the policies and practices for Mind Rising. Please read it carefully and contact me with any questions.
PRIVACY POLICY
The Privacy Policy form for my practice can be downloaded here. You'll also receive a copy once the first meeting is scheduled.
RELEASE OF INFORMATION
The Release of Information form can be downloaded here if you would like me to coordinate care with any professionals you have worked with now or in the past.
GOOD FAITH ESTIMATE
You have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost.
bottom of page