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DOCUMENTS

Please download the following documents and bring them to your first appointment. If you are unable to complete them beforehand, please arrive 15 minutes early to complete them on site.

Documents: Files

INFORMED CONSENT FOR COUNSELING AND PSYCHOTHERAPY

This consent form is simply an effort to obtain your permission to perform the evaluation necessary to identify the appropriate treatment and/or procedure for any identified condition(s). This consent provides us with your permission to perform reasonable and necessary medical examinations, testing and treatment

NEW PATIENT INFORMATION FORM

This form is to request a brief patient background and reasons for seeking service as well as request contact information in order to schedule sessions.

RELEASE OF INFORMATION FORM

This form allows Dr. Pace to communicate with other healthcare provides on your behalf, with your permission. This form is required in order for Dr. Pace to communicate with others about your care.

HIPAA

This document is provided on behalf of HIPAA to inform you about your rights when seeking healthcare. It also covers provider responsibilities in handling your health information.

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