Forms and Disclosure Statements PDF Print E-mail

Forms and Disclosure Statements

Client Forms 

Please find below the common important forms for new clients and disclosure statements for mental health regulations.

pdf Print the New Client Worksheet

Download and print this worksheet to save time during your appointment.

pdf Print the Counseling Disclosure Form — Read more on the Counseling Disclosure Form page .

For telephone counseling appointments, please sign and date this document and mail to my office address.

pdf Print the HIPPA Consent Form — Read more on the HIPPA Consent Form page.

To consent to the use or disclosure of my protected health information (PHI) by Stefan Schlesinger, M.A. d/b/a Global Counseling for the purpose of treatment, payment and counseling business operations.

Disclosure Statements

Please read the Disclosure Statement of Seattle Counselor , Stefan Schlesinger, MA

 

 

Last Updated ( Tuesday, 12 February 2008 )
 

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