littlebirdpsychotherapy

Getting Started

These forms are important to read and understand before beginning psychotherapy. Please complete the forms indicated in the welcome packet checklist and bring them with you to your first appointment:

Welcome Packet Checklist

Personal Information Form

Informed Consent

Attendance Policy

Telehealth Consent Form

Counselor Disclosure Statement

Client Rights and Responsibilities

Notice of Privacy Practices

Financial Responsibility Agreement

Authorization to Disclose PHI for Payment & Reimbursement Purposes

HIPAA Authorization for Use or Disclosure of PHI

Release of Information

Release of Information FAQs

Electronic Communication Authorization Form

What to Ask Your Insurance Company

Acts of Unprofessional Conduct

​​​I learned that courage was not the absence of fear,​ but the triumph over it.- Nelson Mandela

Getting Started

I learned that courage was not the absence of fear,
but the triumph over it.
- Nelson Mandela