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Important Office Forms

Required forms for all new patients...

**Virtual Visit Consent Form**

**Email & Text Consent**

**HOPE419 Office Policies**

Additional forms...

Patient Health Questionnaire-9

Permission To Obtain Treatment

Release Of Information Form

Letter/Document Request

Credit Card Authorization

Out of Network Form

Incident billing forms...

Incident Billing, Caitlin Jones, PAC

Incident Billing, Stacey Carabin, PMHNP

Incident Billing, Laura Blanton, PMHNP

Incident Billing, Traci Willis, LSW

Incident Billing, Kimberly Howard, LISW-S

Incident Billing, Sarah Lewis, LSW

Incident Billing, Heather Olsen, LISW

Incident Billing, Amanda Fraley, LSW

Incident Billing, Ashley Phillips, LPCC

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