Elizabeth Perry Counseling, LLC
Elizabeth Perry Counseling, LLC
  • Home
  • About Elizabeth
  • Services
  • Contact
  • Client Forms
  • More
    • Home
    • About Elizabeth
    • Services
    • Contact
    • Client Forms

  • Home
  • About Elizabeth
  • Services
  • Contact
  • Client Forms

Client Forms

When you are ready to make an appointment, contact use and you will receive an email that will link you into our client portal to complete enrollment forms. These forms are generally pretty standard and will include things like a Consent To Treat; Confirmation of Payment Policies; HIPAA Confidentiality Acknowledgement; and so on. Here are examples of how these forms may appear (please note: the specific forms you receive may be slightly different or updated -- these are for reference only).

Good Faith Estimate (pdf)

Download

Professional Disclosure Statements (pdf)

Download

HIPAA (pdf)

Download

Fee Schedule (pdf)

Download
  • Home
  • About Elizabeth
  • Services
  • Contact
  • Client Forms

Elizabeth Perry Counseling, LLC

(864) 670-5073

Copyright © 2023 Elizabeth Perry Counseling, LLC - All Rights Reserved.

Powered by GoDaddy

This website uses cookies.

We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.

Accept