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Helpful Forms

If you are a new client, please visit therapyappointment.com and register as a new client with Michelle Van Aken. After registering, please complete the biographical information.   Please be aware there are additional forms that need to be signed at your initial appointment.  In addition, there may be Employee Assistance Program specific forms that will need completed.

If you would like me to coordinate care with another provider, psychiatrist or medical doctor please complete the following form userfiles/2079575/file/HIPPA Authorization Form.pdf


If you would like to preview a copy of our Privacy Practices, please view it here: userfiles/2079575/file/privacypractices.pdf 
 


Note: To download Adobe Acrobat Reader for free, click here.

 

Helpful Forms

Click here to view and print forms for your appointment.

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