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In our first session together, you will be given two forms to fill out and return; a client information form, a disclosure & privacy practices notice. The client information form provides me with your contact information and some basic information about you and the issue that brings you in. The disclosure form is required by the state and details important information such as rules of confidentiality, fees, billing, scheduling instructions, further information about my background, emergency contact information, etc.  The privacy practices form details my privacy policies regarding safeguarding your healthcare information.

It will be of great benefit to read and complete these forms before our first session. It usually takes about 15 minutes to complete these forms. As you go through them make a note of additional questions you have, as we will have specific time for reviewing them and addressing your questions in our time together.

Click the form name below to begin the download.
Phil Prothero, MA, MDIV
425-344-8422