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Intake Forms
PATIENT-INFORMATION.pdf
PRIMARY-INSURANCE-INFORMATION.pdf
Financial Agreement 2022.pdf
RECORD OF MEDICATION.pdf
Notice of Policies and Practices to Protect 2013.pdf
Clinician Client Agreement revised 2022.pdf
Checklist for Telebehavioral Health Sessions.pdf
Patient Consent Agreement for Tele.pdf
Telebehavioral Health Financial Agreement 2022.pdf
Informed consent for in-person services during COVID-19 Public Health Crisis.pdf
Safety Precautions in effect during pandemic.pdf
2022 Notice Disclosure Form Regarding Patient Protections Against Surprise Billing.pdf
Vista Psychological & Counseling Centre, LLC
is not affiliated with
Sunrise Vista Behavioral Health Hospital
or
GCN Hope
that shares office space.
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