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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

Release Of Information Form

Letter/Document Request

Permission To Obtain Treatment

Credit Card Authorization

Out of Network Form

Medical Treatment of a Minor

Incident billing forms...

Incident Billing, Allison Crosby, PMHNP

Incident Billing, Dave Krenrick, LISW-S

Incident Billing, Melissa Speelman, LISW-S

Incident Billing, Traci Willis, LISW

Incident Billing, Kerry Jeric, LPCC-S

Incident Billing, Roxanne Sellards, LSW

How are we doing?

Attuned Eating Group Survey

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