Psychological Services

Paperwork

When you have scheduled your first appointment, I will mail paperwork to you or you may download it from this website.  Please complete the paperwork and bring it with you to your first appointment.  I will also need to make a photocopy of your insurance card.

 

                          Download New Client Paperwork

 

You may review a copy of our privacy policies in our office or on the website. You may download a personal copy.

 

                          Download Notice of Privacy Practices

 

If you would like to request that records be exchanged between your psychologist and other healthcare providers or professionals, you must provide authorization in writing.

 

             Download Authorization to Use/Disclose Health Information

 

 

Get Adobe Reader?

Paperwork

503-292-9183

Copyright 2006-2010

Normund Akots, PhD

Website By:

www.MyTechAdvice.com

Normund Akots, PhD