Client Forms
IMPORTANT: All NEW clients, please download and complete the CAPP Background Questionnaire prior to your FIRST appointment along with the appropriate Consent Forms.
Forms for Dr. De Simone
hipaa_notice_of_privacy_practices_updated_des_9-23-1322.pdf | |
File Size: | 1231 kb |
File Type: |
client_rights_9-23-136.pdf | |
File Size: | 1160 kb |
File Type: |
capp_release_form_des.pdf | |
File Size: | 54 kb |
File Type: |
Forms for Dr. Outhier
capp_hippa_v.2.pdf | |
File Size: | 125 kb |
File Type: |
client_rights.pdf | |
File Size: | 75 kb |
File Type: |
capp_release_form.pdf | |
File Size: | 54 kb |
File Type: |
General Forms
capp_background_questionnaire_web.pdf | |
File Size: | 99 kb |
File Type: |
capp_information_rights__responsibilities.pdf | |
File Size: | 116 kb |
File Type: |
capp_accompanying_adult_and_limited_consent.pdf | |
File Size: | 46 kb |
File Type: |
collateral_consent.pdf | |
File Size: | 90 kb |
File Type: |