Vista Psychological & Counseling Centre
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INTAKE FORMS


These forms are here for your convenience. You should contact the office and use our portal to complete intake paperwork.  Use the link below:


External link opens in new tab or windowhttp://www.therapyportal.com/p/VistaPsych1





PATIENT-INFORMATION
PRIMARY-INSURANCE-INFORMATION.pdf
FINANCIAL AGREEMENT Patient 2023.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-copy.pdf
Patient-Consent-Agreement-for-Tele-health.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-agains.pdf




Vista Psychological & Counseling Centre, LLC
is not affiliated with the External link opens in new tab or windowGreen Compassion Network who shares office space or External link opens in new tab or windowSunrise Vista Behavioral Health Hospital. 




  • info@vistapcc.com
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