Forms

The following forms are for my clinical and forensic clinical neuropsychology practices.

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Clinical Forms

These forms are for my clinical neuropsychology practice.

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• Financial agreement - Neuropsychological assessment services

• Disclosure statement

• Disclosure statement - In Person testing agreement

• Disclosure statement - Teleneuropsychological assessment agreement

• HIPPA - Notice of Policies and Practices to Protect the Privacy of Your Health Information in the State of Washington

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Forensic Forms

This form is for my forensic clinical neuropsychology practice.

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• Criminal forensic retainer agreement

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