Clinical Forms

Affiliate Instruction Sheet (PDF)

Affiliate Instruction Sheet

AFFILIATE INSTRUCTION SHEET

1 file(s) 819.18 KB

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Clinical Summary form (PDF)

Client Data Form

CLINICAL SUMMARY FORM

1 file(s) 225.23 KB

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Billing Statement (PDF)

Billing-Statement

BILLING STATEMENT

1 file(s) 206.13 KB

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Statement of Understanding (PDF)

Statement of Understanding

STATEMENT OF UNDERSTANDING

1 file(s) 40.80 KB

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Release of Information (PDF)

Release of Information

RELEASE OF INFORMATION

1 file(s) 42.56 KB

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Privacy Notice (PDF)

PRIVACY NOTICE

1 file(s) 53.34 KB

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