Forms | PHITTInc

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Forms

Adults*

Client Contact Information

HIPAA Agreement

Patient Privacy Policy

Consent to Therapy

Checklist Assessment

Release of Information/Records

Children*

Chid Contact Information

HIPAA Agreement

Patient Privacy Policy

Consent to Therapy

Checklist Assessment

Release of Information/Records

*If printing forms, please print, fill-out, and bring ALL forms to your intake EXCEPT 'Release of Information/Records'