Hello there!

 

After we have spoken and set up an appointment on the phone, I will give you a user name and password to Therapy Appointment/TA (a secured, HIPAA compliant website).  You will use this to log into TA to fill out the "Update contact or insurance information"

 

If you provided me with your email address -TA will email you a new patient packet that you will need to print out.  If you did not get the email, the PDF packet is below.  Please  fill out this packet and bring with you to our first meeting. 

 

You will need to read the Informed Consent for Treatment, the Acknowledgement of the Notice of Privacy Practices, and the No Secrets Policy on this website before signing the agreements and acknowledgements within the emailed packet. By signing the signature pages - you are accountable to these consents, policies and practices.

 

Please set aside about 30-45 minutes to read and complete the required paperwork.  I apologize for the amount of paperwork, but I promise you I will never ask it of you again and that it will enhance your treatment experience! 

 

I look forward to meeting you soon!

 

Here is the link to TA so you can log in to fill out the contact and insurance information and see it's other convenient features/benefits:

https://www.psychselect.com/cgi-bin/TherapyAppointment/login.cfm?practitioner=6071&CFID=79181&CFTOKEN=a159efbb3b59faea-3BDAEDBF-DE27-56A0-E26F4B4A70E7D14E

Intake packet (if not emailed from Therapy Appointment)
After completing the update contact and insurance information on Therapy Appointment - please download, print up, complete, and then bring this paperwork with you to session.
051014 TA upload.pdf
Adobe Acrobat document [343.2 KB]

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