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Forms

In order to provide the best quality of care and service, our goals include getting to know you while ensuring you feel comfortable and aware of our processes and practices. 

 

Please download, complete, and save all pertinent forms.  Forms are fillable, printable, and include an easy submit button at the bottom of each form. Be sure to keep a copy of all completed forms for your personal records.

Please fill and submit this intake form prior to your first appointment.  This will help ensure we have a good foundation for our sessions.

*Note: All information collected is held securely and privately according to our privacy practices in a HIPAA-compliant manner.

2

Required for all clients.

3

Required for all clients.

4

This release permits Knotfree Living to share approved information with other providers at your request.  Complete this form as needed.

5

To best serve and communicate with each client, we require pertinent information and preferences.  All adult clients must complete this form.

6

Please complete this form for all clients that are minors.  Parent or guardian signature is required on this form.

7

This form provides consent for telemental health care.  Required by all clients.

8

Review only, this document provides essential treatment consent information.  This is required reading for all clients. 

9

This document contains all privacy practices and policies for Knotfree Living.  This is required reading for all clients

9

This document contains all privacy practices and policies for Knotfree Living.  This is required reading for all clients

Intake Form
COVID19 Release
Financial Agreement
Information Release
New Client - Adult
New Client - Minor
Telehealth Consent
Treatment Consent
HIPAA Policy
Download All Forms
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