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Couple by a Lake
Couple by a Lake

Client Forms

NEW CLIENT FORMS - Online Secure Client Portal 

If you're a new client, I will send you a link to my client portal where you can conveniently and securely fill out your client forms online and send them to me with HIPAA compliant security. If you are a current or returning client, I may ask you to update your forms in my client portal so that I can update and securely store your information with my new platform. Thanks for taking the time to complete each of the forms and electronically sign where indicated. Below is a link to the State of WA RCW 19.130.180 which outlines ethics and law for my license as an LMFT in WA. In addition to the forms on my portal, I am providing this to you for your convenience and records. Please reach out with any questions, whatsoever.

Additionally, if you would like me to coordinate care with another provider (for example, your financial planner, estate planner, attorney, primary care physician, etc...), you will need for me to send you a Rease of Information (ROI) for you to read, fill out and sign via the portal) so that I am authorized to release your protected personal health information (PPI) according to HIPAA laws and regulations. Please let me know if there is another provider you would like me to coordinate with.

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Helpful Forms

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