First Visit & Forms

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#FFFFFF" TEXT="#080000" background="127015b3.jpg"> <div> <FONT SIZE="5" COLOR="#000000" FACE="Arial" ><B>Help4Self   Center</B></FONT><B>    </B><B> |     </B><A HREF="index.htm" TARGET="_top" TITLE="Help4Self Center"><B>home</B></A></div> <div> <A HREF="id21.htm" TARGET="_top" TITLE="Dr. Mathis">Dr. Mathis</A>   |   <A HREF="locations.htm" TARGET="_top" TITLE="Contact Maps">Contact & Maps</A>   |   <B>   First Visit & Forms      </B>   |   <A HREF="id2.htm" TARGET="_top" TITLE="Recommended Reading">Recommended Reading</A>   |   <A HREF="id4.htm" TARGET="_top" TITLE="SELFhelp Articles">SELF-help Articles</A></div> <div> </div> </td> </tr><tr> <td valign="top" width=23.125% BGCOLOR="#FFFFFF" TEXT="#080000"> <bR> </td> <td valign="top" height=390 width="100%" BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I>   First Visit & Forms      </I></div> <div> <I>You will need to </I><I><B>print out the forms </B></I><I>for the first visit and bring them with you.  This will save you time by completing the paperwork prior to coming for the appointment.</I></div> <bR> <div> Forms needed for the initial visit:</div> <bR> <div> <A HREF="initial_client_form_for_firs.htm" TARGET="_top" TITLE="Client Information">Client Information</A></div> <div> <A HREF="practice_policies_for_first_.htm" TARGET="_top" TITLE="Practice Policies">Practice Policies</A></div> <bR> <bR> <div> Forms needed for the initial visit related to:  <B>Health Insurance Portability and Accountability Act</B> (HIPAA)</div> <div> <I>The first is for you to read, whether online or to print out and read,.</I></div> <div> <I>The second is for you to print out, sign and bring with you.</I></div> <bR> <div> <A HREF="hipaa_information.htm" TARGET="_top" TITLE="HIPAA Information">HIPAA Information</A></div> <div> <A HREF="hipaa_signature.htm" TARGET="_top" TITLE="HIPAA Signature">HIPAA Signature</A></div> <bR> <bR> <bR> <div> Additional forms that might be needed:</div> <div> <A HREF="id108.htm" TARGET="_top" TITLE="Release of Information">Release of Information</A></div> <bR> <bR> <bR> <bR> <bR> <bR> <div> Return: <A HREF="http://help4self.net" TARGET="_top" TITLE="http://help4self.net">Help4Self.net</A></div> <bR> </td> </tr></table></body>