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Helpful Forms

NEW CLIENTS:
If you are a new client, please:
1. Print and Complete, or Complete Online, the New Client Information Packet 
2. Sign and Date all appropriate pages
3. Printable forms can be emailed to [email protected] or you may FAX the forms to (850) 243-2702

Remember:  Attach a copy of your insurance card and a photo ID to your paperwork. 

If you have any questions, do not hesitate to call us at (850) 243-8086.
 

Printable Forms Links:

 

 

Digital Online Forms Links:

CURRENT CLIENTS:

Seeking to coordinate care with another provider?

1. Complete Release of Information Form  - to authorize release of assessment and/or psychotherapy information.

2. PrintableRelease of Information Form 

3. Digital Online: Below

4. For Identity Verification, our staff may request that you attach a copy of a government issued, signed photo ID, along with contact telephone number.

5. Return completed forms and indentification information by mail, email or FAX (850-243-2702).


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Seeking a personal copy of your records or the records of a minor?

1. First: Discuss this request directly with your therapist.

2. Privacy: Due to the highly private nature of Mental Health Records, a Summary of Treatment typically is provided when records are requested.

3. Cost: As the cost of producing a summary or writing a letter, copying and mailing records, or faxing records is not covered by most insurance companies and is considered a "Special Service", please consult with the Staff at Turning Point to obtain an estimate of your charges for such non-covered services.

4. Special Services: Some insurance companies require you to sign a special form when paying for non-covered services.

5. See our Rates & Insurance page for more information regarding Special Services.

6. Policies for Release of Records can be found by clicking here.

 

RELEASE FORMS:

         Release of Information Form (Printable Form)

         Release of Information Form (Complete Online - For Dr. Miller)

         Release of information Form (Complete Online - For Dr. Chandler)

         Release of Information Form (Complete Online - For Dr. Tucker)



Note: To download Adobe Acrobat Reader for free, click here

 

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