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 HIPAA Policies 2017 Child and Adolescent Assessment Consent to Treatment Emergency Medical Information Consent to Disclose Information Client Registration Information Client Medical 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
