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PATIENT FORMS

1) PATIENT INFORMATION

2) CLINICAL PATIENT INFORMATION

3) PATIENT CARE COMMUNICATION FORM (AUTHORIZATION TO DISCLOSE INFORMATION)
4) CLIENT INFORMATION AND ACKNOWLEDGMENT OF INFORMED CONSENT TO TREATMENT

5) AUTHORIZATION FOR RELEASE OF INFORMATION

6) ELECTRONIC SERVICE DELIVERY CONSENT FORM

7) NOTICE OF POLICIES AND PRACTICES TO PROTECT THE PRIVACY OF YOUR HEALTH INFORMATION
8) TELECOMMUNICATIONS CONSENT FORM
9) CREDIT CARD ON FILE AUTHORIZATION FORM
10) INFORMED CONSENT FOR IN-PERSON THERAPY
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Cornerstone Psychological And Counseling Services