Libby Collins Therapy, LLC
If you're a new client, please complete the following forms and bring them to your first session.
If the client is an adult:
- Client Information and Billing Consent
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Personal History Form - Adult
- Consent to disclose healthcare information
- Payment agreement
- Client Information and Billing Consent
- Minor History Form
- Consent for Minors
- Payment agreement
Personal History Form - Adult |
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Consent to disclose Healthcare Information |
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Payment Agreement |
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Minor History Form |
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Consent for Minors |
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Client Information and Billing Consent |
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