Client Forms

New clients ARE REQUIRED to complete several forms before therapy can begin. To make the process as smooth and efficient as possible, we provide the most important documents as downloads right here on this website.

 

ALL FORMS ARE MANDATORY TO COMPLETE (even if your insurance is covering your session). Dr. Dee WILL NOT SEE A CLIENT UNTIL ALL FORMS ARE RECEIVED. Please select the appropriate download link and return the completed documents to our practice either in person, or as a scanned PDF file via e-mail. Naturally, all forms are also available at the practice office; however, filling them out in advance saves time and does not take time from your session.

If you are unsure which forms to fill out, don't hesitate to contact us.

New Patient Information Sheet
1st page is MANDATORY! Pages 2-6 are completely OPTIONAL and are not required to be completed unless you choose to do so.
AITF.doc
Microsoft Word document [46.5 KB]
HIPPA CONTRACT
Contains essential information about Privacy Policies and practice of Dr. Dee-Anna Bradley, LMFT, LPCC. ***MANDATORY FORM***
HIPPA2023Form.docx
Microsoft Word document [23.5 KB]
OUTPATIENT SERVICE CONTRACT
Contains essential information about Policies and practice of Dr. Dee-Anna Bradley, LMFT, LPCC. ***MANDATORY FORM***
62024OPSvContract.doc
Microsoft Word document [45.5 KB]
Credit Card Authorization
Required form for treatment to commence. Current credit card must be on file for treatment to occur. ***MANDATORY FORM***
CCAuthform.docx
Microsoft Word document [12.2 KB]

Note: You will need Adobe(r) Reader(r) to view PDF files. If you do not have it, you can download it for free.