This link Client Information and Office Policy Statement is the HIPAA regulated information that I must provide to you. You may print it out and bring it with you to your first appointment with me or just read it and be sure to check the box on the following form (below) that you have read it and do not require a copy. You may access this form at any time here or I can provide one for you in my office. All healthcare providers provide this information.
The following form (below) is for you to submit information to me directly about your reason(s) for wanting to schedule an appointment. It is not a mandatory form, but it will save some time on your first appointment. I have set this form up to come to my email at DebbieUrbanLPC@aol.com. If you are not comfortable with on-line communication, instead you may call (573)727-6428 to make an appointment.
You will NOT be billed for submitting this form.
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