(208) 449-5183 / (949) 433-4844
1250 Ironwood Drive Suite 303
Coeur d' Alene, ID 83814

Forms

If you have scheduled an appointment, please print and complete the forms below and bring to your first session. For the Notice of Privacy Practices form, you only need to print and bring the signature page.

Telehealth Informed Consent Form is only for those clients who will be utilizing Telehealth services.

For California residents, please print, complete and scan the documents prior to your first appointment.

Informed Consent

NOTICE OF PRIVACY PRACTICES

Personal Information

Texting Agreement

Telehealth Informed Consent Agreement