Forms

Patient Forms

Complete the forms your require below.  If you are unsure which forms you need to complete, contact Dr. Lynda Behrendt.

Client InformationDownload
Required form of all new clients.
Authorization to Release Protected InformationDownload

Client authorization form to release protected information to specific people that the client agrees to release to.

Patient Services AgreementDownload

Client agreement understanding the services and costs associated with those services.

Telehealth Download

Agreement toward the use of electronic communications for services.  Includes instructions and guidelines.

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