Consent Form for Neurotherapy

Please review and complete the following form if you intend to engage in neurotherapy


Informed Consent for Neurotherapy (ONLINE VERSION:  Read, complete, sign, and submit online)   OR

Informed Consent for Neurotherapy (PDF/PAPER VERSION:  Download, print, read, complete, and bring with you)



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Forms to Complete for First Visit 

Please click the links below to download forms that we would like you to complete and bring with you to your first visit.


CLIENT SERVICE AGREEMENT (ONLINE VERSION:  Read, complete, sign, and submit online)   OR

CLIENT SERVICE AGREEMENT (PDF/PAPER VERSION:  Download, print, read, complete, and bring with you)


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FORMS & OTHER INFORMATION

HIPPA (Privacy Practices) Information

Please review the information in the document linked to below.  Feel free to ask questions about it at any time.


HIPPA Information



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Other Forms

Please complete a copy of this form for each person or agency with whom you would like AMAR Wellness to share information.  Feel free to ask questions about it at any time.


Release of Information (ONLINE VERSION:  Read, complete, sign, and submit online)  OR

Release of Information (PDF/PAPER VERSION:  Download, print, read, complete, and bring with you)


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