Still Tranquility
Still Tranquility
  • Home
  • Meet the Provider
  • Services Provided
    • What Do We Treat?
    • Psychiatric Evaluation
    • Medication Management
    • Psychotherapy
    • Genetic Testing
  • Fees
  • Appointment
  • FAQs
  • Client Forms
  • In a Crisis?
  • Resources
  • More
    • Home
    • Meet the Provider
    • Services Provided
      • What Do We Treat?
      • Psychiatric Evaluation
      • Medication Management
      • Psychotherapy
      • Genetic Testing
    • Fees
    • Appointment
    • FAQs
    • Client Forms
    • In a Crisis?
    • Resources
  • Home
  • Meet the Provider
  • Services Provided
    • What Do We Treat?
    • Psychiatric Evaluation
    • Medication Management
    • Psychotherapy
    • Genetic Testing
  • Fees
  • Appointment
  • FAQs
  • Client Forms
  • In a Crisis?
  • Resources

Client Forms

Contact Information Sheet (pdf)Download
Child Intake Form (pdf)Download
Adult Intake Form (pdf)Download
Cancellation Policy (pdf)Download
HIPAA Notice of Privacy & Health Information Practices (pdf)Download
Authorization of Release of Information (pdf)Download
Limits of Confidentiality Acknowledgement Form (pdf)Download

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