Client Forms
ADULT INTAKE
- Adult Client Intake Form
- Lifecare-ConsentForProfessionalTherapyServices.pdf
- Professional Disclosure Statement
- Notice of Privacy Practices
- Receipt and Acknowledgment of Notice
- Electronic Communication Consent
- Credit Card Authorization Agreement
ADOLESCENT INTAKE
- Adolescent Client Intake Form
- Lifecare-ConsentForProfessionalTherapyServices.pdf
- Adolescent Informed Consent
- Professional Disclosure Statement
- Notice of Privacy Practices
- Receipt and Acknowledgment of Notice
- Electronic Communication Consent
- Credit Card Authorization Agreement
COUPLES INTAKE
- Couples Intake Form
- Couples ConsentforProfessional Services
- Couples Informed Consent
- Professional Disclosure Statement
- Notice of Privacy Practices
- Receipt and Acknowledgment of Notice
- Electronic Communication Consent
- Credit Card Authorization Agreement
OTHER CLIENT FORMS
- Release of Information Form
- EMDR Consent Form
- Lifecare-telehealth-information-consent-form.pdf
- Lifecare-covidinfectious-policiesprocedures.pdf
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