Forms

Below you will find links to the necessary forms you will need to fill out and bring with you when you come for your first appointment. It will take about 20-25 minutes to fill out the forms, but it will allow us to cover a lot of material during your first appointment, and utilize our time more efficiently.

Please download the INFORMED CONSENT AND OFFICE POLICIES here.

Please download the CLIENT INTAKE FORM here.

Please download the NOTICE OF PRIVACY PRACTICES form here.

Download the ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES form here.

Please read the forms carefully, print out and fill them out completely, and note any questions you would like to have answered. Bring these forms with you to your first office visit. If you cannot print out the forms, please let me know and I will have them available for you.

I look forward to meeting you,

Lorene Noack, LCSW