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Client Forms

Please download and print these forms.

You may submit completed forms to us by email at

New Client Registration

Information about yourself and why you are seeking services with Seven Hills Psychology.

HIPAA Notice of Privacy Practices

Privacy practices of Seven Hills Psychology and copy of your HIPAA rights.

Informed Consent to Treatment

Client information and informed consent for psychotherapy and/or psychological evaluation with Seven Hills Psychology.

Authorization for Release of Information

Form authorizing Seven Hills Psychology to release your protected health information to others.

If you would like us to speak with a significant other, previous healthcare provider, or anyone else about services you are receiving with us, please fill out a form for each individual or practice.

Billing Form

Credit Card Information and Authorization that is kept on file

Forms: Files
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