FORMS
Your Journey to Wellness Starts Here.
The information requested is part of the process of working together, all of which contribute to an optimal outcome.
If you are a new patient, please complete and sign all forms and be sure to bring your insurance card and driver's license (front/back) to your initial visit or send them to kate@livingponocounseling.com
NEW PATIENTS ONLY
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Contact Living Pono to speak with a therapist or staff member before completing forms.
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Verify Insurance
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Read Client Contract
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Complete the Client Intake Form
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Complete Credit Card Authorization
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Complete Release of Information
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Complete Safe Harbor Agreement
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Complete the Document Request Form
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Complete the Cancellation Policy, where applicable
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Complete your Medical Profile
Start your wellness journey now.