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Our Forms

*New Patients: Please download, complete and return all of forms in the 'Intake Packet' before your first appointment either by text, email or by turning them in at your intake appointment.

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Release of information form will need to be downloaded and completed separately, if you choose to share information between providers

*New Patient

Intake packet

Click here to download

This packet includes:

 

  • Client Intake

  • Healing Arts, LLC informed consent

  • HIPAA consent

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Substance Abuse Assessment

Click here to download

Complete and submit this form if you find this information important for provider to know or if provider ask you to do so.

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Release of Information

Click here to download

Submitting this form will allow any communication  and/or sharing of progress notes and records between your outside providers and your Healing Arts, LLC provider.​

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Complete a separate form for each outside provider.

Extra Forms

New Client Registration

HIPAA

Informed Consent

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