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NEW CLIENT PAPERWORK

First, review the following four documents (you may print these out for your own records):

Privacy Practices for Protection of Health Information (HIPAA)

Limits to Confidentiality

Rights and Responsibilities

Electronic Communication Policy

 

Next, complete and print the following forms.

Personal Information Form

Practice Information and Consent to Treat

Financial Responsibility and Signature Page

Once completed, please email these documents to your therapist via an encrypted email she will send to you for this purpose.

If you would prefer, these documents can be mailed to our physical address at Turning Point Psychotherapy Associates, LLC, 558 West Uwchlan Avenue, Suite 100, Exton, PA 19341. Please speak with your therapist before your initial visit to make arrangements.

Finally, if you would like us to coordinate care with another provider, for example, your psychiatrist, primary care physician, etc., please complete this form to authorize release of information. This document is not required for your first session.
Release of Information Form

Note: To download Adobe Acrobat Reader for free, click here .