Heart Center ed healing  Connections

​​​​Creating Healing Connections at the Heart Center


Forms

If you are new to our practice, please complete the following forms and return them when you come for your first session:









Please complete the following form if you would like me to coordinate care with a family member and/or another provider such as your psychiatrist or primary care physician:





The following attachement explains Patient Rights and Hippa Authoriations.  Please read prior to coming to your first session.

Client Intake Form
Signature on file form
Policies, Procedures & Consent Form 
Symptom Measure Form
Authorization of disclosure
Hippa Form