All new clients can read/download/print the following forms to fill out prior to your initial appointment with Dr. Blue. You may then email them back to Dr. Blue at Jim.Blue@Charter.net, or simply bring them with you on the day of your appointment.
1.) The HIPAA Notice and the Treatment Plan are for your information, and are yours to read and keep. You may print them or simply read them online.
2.) The next three documents are signature pages, acknowledging you have read the HIPAA Notice and the Treatment Agreement. These two forms need to be printed, signed, and returned to Dr. Blue to keep on file.
3.) If you will be paying by credit card, please print out and complete the form below and return it to Dr. Blue.