JOYCE STARKS
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New Client Documents

All new clients must print, complete, and bring the following two documents to their first session, and read the Notice of Privacy Practices (found at the bottom of this page).

Informed Consent
Download
Questionnaire
Download

Ecclesiastical Assistance Form

If you are utilizing ecclesiastical assistance, you must also complete the following form and bring it to your first session.

Bishop's Authorization for Payment of Services
Download
 

Additional Client Documents

These forms do not need to be printed out or brought to your first session.

Client Authorization for Disclosure of 
​Confidential Information
This form is provided for clients who wish to authorize me to discuss confidential information and client history with former therapists, counselors, doctors, or other individuals specified by the client.
Download
Client Authorization for Disclosure of 
​Proteted Health Information
This form is provided for clients who may choose to disclose protected health information to a third party
Download

Notice of Privacy Practices
Clients must read this document prior to signing the Informed Consent
Download