Forms

Airmid Healing Telehealth Informed Consent Form

Airmid Healing Client Psychotherapy Intake Form

Airmid Informed Consent Form

Airmid Healing Limits of Confidentiality/Therapy Cancellation Policy

Airmid Healing Professional Disclosure

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

• Airmid Healing Authorization to Disclose Information Form

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