New Hope Associates
New Hope Associates
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    • Marie Anderson, LPC
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    • Susan J. Coleman
    • Coaching Services
    • Coaching Forms
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  • More
    • Home
    • About Us
    • Counseling
      • Marie Anderson, LPC
      • Counseling Services
      • Counseling Forms
      • Counseling Resources
      • Office Info
      • Directions
    • Life Coaching
      • Susan J. Coleman
      • Coaching Services
      • Coaching Forms
      • Life Coaching Resources
    • Contact Us
  • Home
  • About Us
  • Counseling
    • Marie Anderson, LPC
    • Counseling Services
    • Counseling Forms
    • Counseling Resources
    • Office Info
    • Directions
  • Life Coaching
    • Susan J. Coleman
    • Coaching Services
    • Coaching Forms
    • Life Coaching Resources
  • Contact Us

HIPAA Forms

The  following New Client forms are provided for your convenience and to  save time at your initial appointment.  Please download and print the  forms in advance and allow adequate time to read and complete  thoroughly.  Please sign and bring them with you to your Intake  appointment and we will review all content. 

HIPAA Notice of Privacy Practices (pdf)Download
HIPAA Authorization Form (pdf)Download
Files coming soon.

Intake Forms

Adult Intake (pdf)Download
Confidentiality Agreement (pdf)Download
Release of Information (pdf)Download
Responsible Party Billing Form (pdf)Download
NHA - Practice Policy Agreement 7-23 (pdf)Download

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