Libby Collins Therapy, LLC

If you're a new client, please complete the following forms and bring them to your first session.

If the client is an adult:

• Client Information and Billing Consent
• Personal History Form - Adult
  
• Consent to disclose healthcare information
• Payment agreement

• Client Information and Billing Consent
• Minor History Form
• Consent for Minors
• Payment agreement

Personal History Form - Adult
Consent to disclose Healthcare Information
Payment Agreement
Minor History Form
Consent for Minors
Client Information and Billing Consent

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