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Paperwork

 

Before we meet for the first time there are some forms to be read and/or printed and completed before or by the first session.  I prefer that you send me the paperwork 48 hours in advance of our scheduled session (scanned and emailed to nichole@nicholelorenz.com).  If you can do so, please text me at 734-604-0654 to verify that you have scanned and sent the paperwork, AND still bring the hard copies to the office for your first visit.

 

There are 6 forms in all: 

 

1) Overview of Clinical Practice (4 pages)

2) Social Media Policy (4 pages)

3) HIPPA (7 pages)

4) Initial Consultation Form (2 pages)

5) Digital Communications (1 page)

6) Insurance Information for Billing Purposes (1 page) 

If you are receiving bodywork/energy work please fill out this form as well

 

 

Please simply read through the following 3 forms:  

 

1) Social Media Policy

2) Overview of Clinical Practice

3) HIPPA 

 

Please print out the following 4 forms in order to fill them out and bring them to your first session.

1) Last page of the HIPAA form (1 page)

2) Initial Consultation Form (2 pages)

3) Digital Communication (1 page)

4) Insurance Information for Billing Purposes (1 page)

 

Thanks for going through this paperwork - it will probably take about 20-30 minutes in total.