ALL inter-office forms in .zip file


Application for Sliding Scale Fees

Authorization for the Use-Disclosure-Exchange of Confidential Protected info (Release form) - print   electronic fill

Brochure back 501(c)(3) Labels (green)

Check In form

Client Intake Information

Consent for Self-Pay Fee Sessions

Consent for Testimonial Release - print    electronic fill

FAX Cover Page - print   electronic fill

Info Requested by Client - print   electronic fill

Letterhead
  BLANK    BRET    DUANE    GABE    KAYLA    MICHELLE    STEVEN    SUSAN 

LENS FAQ

Policy for Church Clients - print   electronic fill

Return Labels

Sliding Scale Fee - Re-evaluation - print   electronic fill

Thank you for Referral - print   electronic fill

Treatment Goal Inventory - print    electronic fill