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720-213-8199
Forms
Forms: Resources
Release of Information
Parent consent is required to release any information or consult with other providers/professionals
Teacher Questionnaire
Please have your child's primary teacher complete this form and send it back to me
HIPAA Disclosure Form
Contains information about the rules and restrictions around protected health information (PHI).
HIPAA Waiver
This is a an acknowledgment of waiver of right to receive notice of HIPAA privacy policies.
Consent to Communicate Information Electronically
This consent form will allow us to communicate information electronically.
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