Please print and complete these forms and
to your first session. Print an extra copy of the Policies for yourself to keep.
New Client Form
Insurance Information Form
email the completed
by clicking here
. Please email only the
and bring the other forms to your first appointment.
Updated HIPAA Information
Read these policies, please.
Notice of privacy practices here
Print this and bring it to your appointment.
Receipt of privacy practices here
If you wish to use email to communicate with me,
print and sign this form and bring it to your appointment
. Thank you.
Celia Hartnett · 855 Washington Street · Suite 100 · Raleigh, NC 27605 · 919.828.6848