Below you find forms for some of our clinicians, If your therapist is not listed, they will provide forms directly to you. Click the links to open the PDF in your browser or right/command+click > save link as to download the file. Connie Bussey-Hooper Intake Registration Consent to Disclose Information 2019 Client Medical Information 2019 HIPAA Policies 2019 Child and adolescent intake 2018b Consent to Treatment Emergency Medical Information Client Registration Information Lisa Delapp-Theis Medical Insurance Authorization Form Intake Form Kaitlin Goodman Policy Statement Intake Information HIPAA Consent form Demographics Mike Rogell WELCOME Policy Statement Intake Questionaire Intake Form In Session Excerpt HIPAA Consent form Therapy Consent
