Kat Anderson Counseling
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Forms

For your convenience, the following forms may be downloaded, printed, and filled-out prior to the first appointment. Please bring them with you to the first session.

Mandatory Disclosure and Informed Consent Form
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mandatory_disclosure_informed_consent_form.pdf
File Size: 375 kb
File Type: pdf
Download File

Financial/Insurance Agreement

financial_and_insurance_agreement_form.pdf
File Size: 233 kb
File Type: pdf
Download File

Notice of Privacy Practices

notice_of_privacy_practices_pdf.pdf
File Size: 152 kb
File Type: pdf
Download File

Client Information and Health Form

client_information_and_health_form.pdf
File Size: 197 kb
File Type: pdf
Download File

Download the following form only if needed.

Authorization to Release or Request Information

authorization_for_release_of_information.pdf
File Size: 200 kb
File Type: pdf
Download File

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  • Home
  • Meet the Counselor
  • Contact Information
  • Counseling Perspective
  • Services
  • Fees and Insurance
  • Forms