For New Clients: Getting Ready
Prior to you first visit, please complete and return the following 3 forms to Dr. DeMuth by the method we discussed.
1st Visit Forms (3pgs)
Teletherapy & Electronic Communication Consent Form(2 pgs)
Personal Summary (15 pgs) Can be returned for before the 1st or 2nd visit.
note: To ensure the most secure HIPAA protection, PLEASE send the above forms to my office BY traditional mail. be advised that email is faster but not HIPAA protected.
For Ongoing Clients: Additional Forms
Please download, sign, scan if necessary, and return to Dr. DeMuth:
HIPPA CONSENT FORM: Authorization for Use & Disclose Health Information (1pg)
Teletherapy & Electronic Communication Consent Form (2 pgs)
When meeting in person, all forms can be obtained and completed at my office.