Forms Required By Your First Visit

You are welcome to email these forms to me prior to our first meeting, or bring them with you.  My email address is alan@newinsight.com.  State law requires that these forms be complete by the time we meet.  They also help me better understand you, which helps me tailor treatment specific to your needs.

 

List of required forms:

• 1. Client Registration and History
  2. Appointment Cancellation Policy
  3. Health Information Portability & Accountability Act (HIPPA) Notice of Privacy Practices
  4. Stress Symptom Checklist
  5. Outpatient Services Contract Confidentiality, Informed Consent & Office Policies
  6. Authorization for Release of Confidential Information

You’ll find my office at the red dot on the map below. Feel free to use the driving directions feature. Enter the following destination address: 13951 N. Scottsdale Rd #120, Scottsdale, Arizona 85254. Remember to bring your forms to our first appointment, if you haven’t already sent them to me.