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.
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consent for telehealth
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INFORMED CONSENT
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INTAKE FORM
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NOTICE OF PRIVATE PRACTICE POLICIES
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RELEASE OF INFORMATION
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ROI- EMERGENCY
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NOTICE OF PRIVACY PRACTICES
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FINANCIAL AGREEMENT
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COMMUNICATION AUTHORIZATION