Forms - Alan Behrman & Associates
 
ALAN BEHRMAN & ASSOCIATES

Forms

bt_bb_section_bottom_section_coverage_image
FORMS

Let's Get Started

Step One
Credit Card Authorization






    Step Two

    *move to step 2 once you’ve received a confirmation and paperwork email

    Forms for all new clients

    HIPAA

    Client Information

    Client Information For Minors

    Step Three
    As instructed in your confirmation and paperwork email
    Cancellation Policy

    Informed Consent for Alan

    Informed Consent for Ashlie

    Informed Consent for Cristina

    Informed Consent for Crystal

    Informed Consent for David

    Informed Consent for Dr. Ram

    Informed Consent for Jamie

    Informed Consent for Jessica

    Informed Consent for Kelly

    Informed Consent for Kirsten

    Informed Consent for Patty

    Informed Consent for Mona

    Informed Consent for Nona

    Informed Consent for Rachel

    Informed Consent for Samantha

    Informed Consent for Sheldon

    Informed Consent for Silvia

    Informed Consent for Tu

    Informed Consent for Whitney

    Step Four
    Optional by situation
    Insurance Authorization

    Coaching Informed Intake

    Relational Therapy Initial Intake

    Release of Info

    Surprise Billing Policy

    bt_bb_section_top_section_coverage_image
    bt_bb_section_bottom_section_coverage_image