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Client forms
Download and complete the forms for your age group. Please bring them with you to your first session.
For clients 18+
Intake Form (Adult)
Informed Consent
Release of Liability (Rise Canyon Ranch)
Release of Liability (Orange County Facility) – CA ONLY
Notice of Privacy Practices (HIPPA)
Acknowledgement of Privacy Practices
Authorization to Exchange PHI
COVID-19 Risk Waiver
Debit / Credit Authorization
For clients under 18
Intake Form (Child)
Informed Consent
Release of Liability (Rise Canyon Ranch)
Release of Liability (Orange County Facility) – CA ONLY
Notice of Privacy Practices (HIPPA)
Acknowledgement of Privacy Practices
Authorization to Exchange PHI
COVID-19 Risk Waiver
Debit / Credit Authorization
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