PLEASE COMPLETE AND SIGN FORM NUMBERS 1,2 AND 3 AND BRING THEM WITH YOU TO YOUR APPOINTMENT.   THE OTHER FORMS ARE FOR YOUR INFORMATION AND TO DOWNLOAD AS YOU WISH.

THANK YOU !

1)  CLIENT REGISTRATION FORM

OR

1)  CHILD REGISTRATION FORM

HIPAA NC NOTICE OF PRIVACY FORM

2)  HIPAA NOTICE OF PRIVACY SIGNATURE SHEET

FINANCIAL POLICY CLIENT COPY

3)  FINANCIAL POLICY SIGNATURE SHEET

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