All
clients
Please click here to read
and print out our Notice of Privacy Practices; if you are
downloading any of our intake forms, a copy of this
Notice is included.
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| At
Horizons, we use a packet of intake forms to gather
information and to clarify procedures before we see you for
the first
time.
You may fill out the forms at the office (please come 20 - 25
minutes early to do so) or you may print out the forms at
your
leisure, fill them out at home and bring them with you. |
| 
|
Adobe
Acrobat Reader, a free program, is needed to view and print
out our intake forms. If you do not have this program on your
PC, click here
to download and install it.
|
| |
If
the client (the person who will be listed as the patient
on insurance forms) is an adult coming
for an individual appointment, click here to view and print out your intake forms. |
| |
|
| If the client is a couple coming
together, the member of the couple who will be listed as the
patient
on insurance forms should click here to view and print out intake forms. Additionally, the other member
of the couple should click to view, print out, and fill
out an additional two-page form: Additional
form for couples therapy |
If
the client (the person who will be listed at the patient
on insurance forms) is under
18,
click here to download your intake forms: |
| |
|
| Insurance
companies sometimes have negotiated rates with Horizons or with
individual therapists. At times, therapists make arrangements
with clients for reduced fees. Your fee agreement will reflect
individual agreements. |
