Envision Therapies

Forms For Your Reference

These forms do not need to be returned, but they provide information regarding my credentials, approaches, and your protected healthcare information (PHI)

Notice Of Privacy Practices

Professional Disclosure

Initial Client Forms

These are the forms for clients starting services. It's possible that your EAP will require addition paperwork that we go through on the first appointment.

Office Policies & Agreement

Third Party Authorization

Client Data

Client Information

Additional Forms

These forms are not required for services but may be helpful to coordinate services.

Request of Information

If you have any questions about the forms, please email or call. envisiontherapies@gmail.com (206)473-2435