Please read before you come in:
Privacy Notice (HIPAA)
Informed Consent and Disclosure of Policies, Procedures, and Fees
Please complete and bring with you to the first session (If coming for couples therapy, both partners should complete separate forms)
Or to send securely online: https://hushforms.com/kathylucylmft
Personal History Form
Signed Privacy (HIPPA) Notice Acknowledgement
Signed Disclosure/Informed Consent Acknowledgement
Credit-Debit Card Consent