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INTAKE FORMS
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
Green Compassion Network
who shares office space or
Sunrise Vista Behavioral Health Hospital.
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