New Client Forms
Please print and complete the relevant paperwork below to bring to your first appointment. Please fill out as much as you can, and I will work with you to address any questions or concerns you may have. If you are unable to bring your paperwork with you, please arrive 20-30 minutes prior to your appointment, and I will be happy to provide copies for you to fill out in our office.
The Registration Form requests consultation and treatment by Elizabeth Miller, LISW, LLC.
HEALTH HISTORY FORM
Prior to our appointment, please complete this form for the person who will be receiving services.
ELECTRONIC COMMUNICATION CONSENT FORM
This form pertains to the exchanging of information via electronic technology.
HIPAA NOTICE FORM
This Notice Form is required by HIPAA (Health Insurance Portability and Accountability Act) Regulations
OFFICE POLICIES FORM
This office policies form contains important information about confidentiality, fees and insurance.