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Forms

At Therapy Changes, we put your comfort at the forefront of all that we do. We operate smooth office processes so that you can focus on what matters most: your care. In preparation for your first therapy session, please review the following documents regarding what to expect in therapy and privacy practices.

Consent to Treatment Forms

The success of therapy depends upon a high degree of trust between you and your therapist. The required consent to treatment provides an understanding of therapy to fully inform you about what to expect from therapy and from your therapist. Before a therapist can begin sessions with you or your child, the Consent to Treatment form must be signed.

Notice of Privacy Practices Form

The HIPAA Notice of Privacy Practices is required by the government and provides information regarding use and disclosure of your medical information.

Neuropsychological Evaluation Form

Choosing to participate in a Neuropsychological Evaluation is the first step in understanding a comprehensive investigation into a person’s behavior, personality, and capabilities. This document was created to help you understand the policies and procedures for an evaluation and prepare you for the steps ahead.

Release of Information Form

If you would like your therapist to speak to another therapist, medical doctor, family member or another individual regarding your care, please complete the following form:

New Client Packets

The required forms are assembled into one packet for your convenience. Individually signed forms are needed for each participant. If you are a part of a couple or family seeking therapy together, you will each need to complete a separate packet.