New Client Forms

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• Client Demographic & Insurance Information

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• Consent to Receive Treatment

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• Client Bill of Rights 

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• Release to Primary Care Provider

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• Client Email & Texting Informed Consent 

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• Privacy of Health Information (for review)

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• Self Pay Form

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• Telehealth Consent Form

Release of Information Forms

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• Madison Office

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• Baraboo Office

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• Sauk Prairie Office