Dr. Sharon Phillips and Associates, LLC
Helping Families Navigate Life's Obstacles
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NEW CLIENT PAPERWORK

New patients: Please download the following forms, fill them out, and bring them with you to your first appointment.

The following forms are for your review, but do not need to be printed out:

hipaa form.pdf
professional disclosure statement for Sue King, PCC-S

For a new child/adolescent, the following forms need to be printed:

child/adolescent demographic form
child/adolescent assessment form
outpatient services contract
hipaa signature form
consent to treat a minor
pcp form
               

For a new adult (18 and over), the following forms need to be printed:


adult demographic form
adult assessment form
outpatient services contract
hipaa signature form
pcp form


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