Forms

Informed Consent (For all clients to complete)

Telehealth Addendum (For clients requesting Online or Phone sessions)

Intake Questionnaire (For all clients to complete)

Privacy Practices (For all clients to read)

Acknowledgement of Privacy Practices (For all clients to sign)

Temporary Reduced Fee Request (To request temporary reduced fee)

Release_Exchange of Information (To authorize collaboration with others – Doctors, Teachers, etc)

Beacon Rights and Responsibilities (For all Beacon Clients)

AOQ for Kaiser Beacon Referrals (For Kaiser/Beacon Health Options Clients to complete monthly)