We understand that filling out paperwork can be tedious, but it is a necessary step in ensuring that we have all the information we need to provide you with the best possible care. By completing these forms prior to your first session, you will allow us to use our time together more efficiently and to focus on your needs and concerns.
- Intake Wellness Form
- Client Demographic Information
- HIPAA – Confidentiality Form
- Omni Psychotherapy Policies & Procedures Form
- HICFA 1500-90
- Credit Card Authorization Form
- Standard Notice and Consent Surprise Billing Protection Forms for Nonparticipating Providers
Please complete the form below if there are other service providers that should be contacted for collaborative purposes, e.g. prescribing psychiatrist, school guidance counselor or social worker, etc.