Ned David Bratspis, PC Tempe, Arizona
Ned David Bratspis, PC Tempe, Arizona
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    • Home
    • About
    • Office
    • Contact
    • Media
    • Forms
    • Workshops
    • Writings
  • Home
  • About
  • Office
  • Contact
  • Media
  • Forms
  • Workshops
  • Writings

Downloadable Forms

Forms

Close of Washington Practice (pdf)Download
Washington: List of Providers (pdf)Download
My Therapy Progress Note (pdf)Download
New Client Form Instructions (pdf)Download
Consent to Release Confidential Information (pdf)Download
Psychotherapy Client Questionnaire (pdf)Download
Couple / Relationship Questionnaire (pdf)Download
Notice of Privacy Practices (pdf)Download
Outpatient Services Contract (pdf)Download
Telemental-Health-Acknowledgement-and-Attestat (pdf)Download
Telemental Health Informed Consent (pdf)Download
TPO - Short Version HIPPA Form (pdf)Download
Using The VSee TMH Platform (pdf)Download
Informed Consent For MINDFULNESS Based Cognitive (pdf)Download
Therapy Individual / Group (pdf)Download
No Show Policies (pdf)Download
health-ins-claim-assignment (pdf)Download

RelaxingOne.com | Ned David Bratspis, PC

Office Address: Licensed Marriage, Family Therapist | 6625 S Rural Road, Suite 103, Tempe, Arizona 85283

253-514-0525 Fax: (602) 960-6096 HIPAA Compliant

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