Debbie Fletcher, Ph.D.
Clinical and Forensic Psychologist
Forms
For all clients please fill out the following
forms and bring to our first visit.
Client Information
Acknowledgment of Privacy Practices
Authorization to Bill Insurance
or
Private Pay Agreement
Informational forms for your review
Rates
Privacy Practices (HIPPA information)
Therapy clients
Therapy Informed Consent
Evaluation clients
Evaluation Informed Consent
Consent to Release Evaluation
Main Navigation
Home
Services provided
Evaluations
Therapy
Rates and insurances
Forms
Confidentiality
Resources
Contact information
About me
Forms Forms 