Please Complete and Bring to Your Appointment

• Counseling/Therapy Information and Services
• Therapy Financial Information Form and Contract
• Authorization for Release of Information Form
  (If applicable, please complete for other mental healthcare professionals you see such as your psychiatrist)

Supporting Documents for Your Review

• Social Media and Internet Policy
• Nevada Notice of Privacy Policies and Practices
• Personal Healthcare Information Access Form
  (If applicable, this form is used to request that your records be released to you.)