1. The easiest solution is to print out our forms. If the client is able to do so at your office, have the client complete these forms:
   

   REGISTRATION and PAYMENT PLAN
   Fill this out as completely as you can. The therapist will go over it with you to help you make it complete.

   CLIENT CONSENT TO TREATMENT FORM
   Sign the form and we’ll explain the details at the first session.

   CLIENT CONSENT for TELEHEALTH

   CLIENT HIPAA PRIVACY NOTICE FORM
   Look the form over and sign it. If you have questions, we’ll be happy to go over it with you.

   AUTHORIZATION FOR DISCLOSURE OF CONFIDENTIAL INFORMATION
   For each person or organization you want us to contact, please fill out a separate form.

2. If the client will take those forms to fill out later, at least complete the DISCLOSURE form listing your company on line one and your own contact information on line two of the section labeled “By/To.” Faxing that to us will enable us to share information with you.
   
   
3. It will help get therapy started if we have a fax of both sides of the insurance card.
   NOTE: If the client has Title 19, Medicaid, or Badgercare, we just need the client’s social security number, not the Forward Card.
   
   
4. With the client’s permission on a DISCLOSURE form, please fax any reports or information you may have or a summary of the data, concerns, and goals you may have.