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New Patient Forms
These are forms you should download, print, and fill out before we meet. You will need Adobe Acrobat Reader on your computer. If you need to download a free copy of Adobe Reader please click on this link to go directly to the download site for Adobe http://www.adobe.com  

Therapist-Patient Services Agreement

Download Disclosure_Statement_2006A.pdf

Adult Background Infomation

Download ADULT_BACKGROUND_INFORMATION_FORM.pdf

Adult Developmental Inventory

Download ADULT_DEVELOPMENTAL_INVENTORY.pdf

Privacy Notice

Download Privacy_Notice.pdf

Acknowledgement of Notice of Privacy Practices

Download Acknowledgement_of_Notice_of_Privacy_Practices.pdf

Insurance Form

Download Insurance_Form.pdf



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Volwiler Counseling - 910 N Washington, Suite 211 - Spokane, Washington 99201 - Phone (509) 242-0806