Please click the buttons below each form to download a fillable PDF. Once forms are completed with all information and necessary signatures, please attach forms to an email and send to kkondorhine@gmail.com.

  • consent for telehealth

    PDF
  • INFORMED CONSENT

    PDF
  • INTAKE FORM

    PDF
  • NOTICE OF PRIVATE PRACTICE POLICIES

    PDF
  • RELEASE OF INFORMATION

    PDF
  • ROI- EMERGENCY

    PDF
  • NOTICE OF PRIVACY PRACTICES

    PDF
  • FINANCIAL AGREEMENT

    PDF
  • COMMUNICATION AUTHORIZATION

    PDF