Caring Minds Mental     Health Professionals Patient Portal

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Documents

New client documents, all these documents can be found through the patient portal or by requesting new patient documents through email. Please complete either online through the patient portal or print and bring along to your first scheduled appointment. To complete by printing please contact our office to be emailed these documents.


Client Information

This form provides the office with necessary contact information and your preferred name and pronouns.

 


Client History Form

This form allows your counselor to get to know why you are seeking counseling and to gain a little background on you.


Client Contact Form

This form allows staff and counselors to contact individuals in case of an emergency or in times of other explained required contact.


Insurance Information

This form allows the staff to have access to your insurance provider.


Consent for Services

This form grants permission to be treated at Caring Minds. This permission may be revoked at any time.


Notice of Privacy Practices

This form provides Caring Minds Privacy Practices. You may print it from here or access it anytime at our office.