"TENDER HELP FOR TOUGH PROBLEMS"

Serving Southern Califnornia since 1983!

 

TPC Initial Appointment Forms

Please click on the forms below and then after the form appears in a new window, press print.

 

TPC Survey HOW ARE WE DOING?

1. Patient Information

2. Therapy Agreement

3. Limits of Confidentiality

4. Bischof Adult Symptom Inventory

5. Legally Required notice of Privacy Policies

6. Bischof Child Symptom Inventory

7. Treatment of a Minor

8. Credit Card Agreement

9. Release of Information

TPC Survey

1. Información del Paciente

2. Acuerdo de Terapia

3. Política de Confidencialidad

4. Inventario de Síntomas de Adultos – Bischof

5. Aviso legal de la Política de Privacidad

6. Inventario de Síntomas de Niños y Familia – Bischof

7. Consentimiento para el Tratamiento de Menores de Edad

8. Tarjeta de Crédito y Debito – Acuerdo de Pago

9. Autorización de Lanzar Expedientes

 

 



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Dr. Peter Robbins
Dr. Kevin Downing

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