Revised 01/03/2022October 11th, 2021
FiledOctober 11th, 2021This form provides you, the client, with information that is additional to that detailed in the Notice of Privacy Practices and it is subject to HIPAA preemptive analysis.
Claudette Waite, LPCJune 14th, 2019
FiledJune 14th, 2019This form provides you, the client, with information that is additional to that detailed in the Notice of Privacy Practices and it is subject to HIPAA preemptive analysis.
Claudette Waite, LPCJune 14th, 2019
FiledJune 14th, 2019This form provides you, the client, with information that is additional to that detailed in the Notice of Privacy Practices and it is subject to HIPAA preemptive analysis.