Kelley Armbruster, LISW, FAPA, Inc.
(513) 770-0800
th3rapymurf64@cinci.rr.com
HELPFUL FORMS

If you're a first-time client, please review and complete the following forms, bring them to your first session.

Consent to Treat Authorization/Fee Agreement Form
HIPAA Notice of Privacy Practices Form
Consent for Psychotherapy Form
Consent to Treat Minor Form
Directions for Private Office

If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:

Protected Health Information Release Authorization

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