One Step At A Time
Therapy for Individuals via Telehealth

Respecting The Journey

Cindi Rieb, MA, LPC

P.O. Box 263

Johnstown, CO 80534

970-587-4963

 

 

FORMS:

If you are a new client, please complete the following forms and bring them to your first therapy session:

Client Rights - This form supplies information regarding the regulation of psychotherapy and guidelines of service which includes information about services provided; client's right to a second opinion; fee and payment policy;and cancellation policy.

Health and Insurance Portability and Accountability Act (HIPAA) - This form is the same form that you would receive from doctors, dentists, pharmacists and any other healthcare provider. It describes how medical information about clients may be used and disclosed.

Adult Client Intake Form - This form addresses general client information in addition to questions about mental and physical health, family background and general history information.





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