Please Download and read the Introduction to Practice PDF; then Download and fill out the appropriate Intake form, HIPAA agreement, and email/text agreement. Don't forget to save this document so it can be e-mailed prior to your first visit. Once all forms are filled out please email them to: tracypopalo.hiltzthiessen@gmail.com.
If you have any problems filling out these forms please contact my assistant, Tracy.
If you have any problems filling out these forms please contact my assistant, Tracy.
| Introduction to Practice.pdf |
| Adult Intake Form.pdf |
| Child/Teen Intake Form.pdf |
| Couples Intake Form.pdf |
| HIPAA.pdf |
| Email and Text Agreement.pdf |