Paperwork for your first Appointment

Below are links to the forms you will need for your first appointment.

To open:    You can either click the link and the document will open in a different window where you can then print, or right-click and Save Link As... the form to your computer.

 

Please follow the instructions for each form:

1.  Client Information packet: Please read in it's entirety, and sign the last two pages. Print the last two pages, and bring them to our first session.

2.  Client Information form: Please print, complete, and bring to our first session.

3.  Notice of Privacy Practices (LONG and SHORT version): Please review either the long or short version of this form.

4.  Privacy Practices Consent form: Please read, print, and sign AFTER reviewing either of the Notice of Privacy Practices (short or long version) above.

5.  What you should know about managed care: Please read, print, and sign if you plan to use insurance to pay for any part of therapy.


Please bring all the forms you have signed to the first session.

 

 

 

Monday the 25th. | The content of this website is for general information and educational purposes only, and is not intended to substitute professional services. Visiting this website or contacting Dr. Haag by email or phone does not constitute or establish a therapeutic or professional relationship.