Christopher A. Ray quote
 

 

Prior to your first consultation, please download, print, and bring the completed forms with you.

If you do not have Adobe's Acrobat Reader, you can download it for free at:
http://www.adobe.com.

 

acrobat symbol Personal Information Sheet.pdf

acrobat symbol Notice of How I Protect the Privacy of Your Health Information HIPPA.pdf

acrobat symbol Informed Consent Agreement.pdf

acrobat symbol Consent for Release of Confidential Patient Info.pdf

acrobat symbol Acknowledgement of Review of Privacy Info Protection Policies.pdf

 

therapy@lindabrase.com

512.496.4848 Office

   
 
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