Daring Minds Therapy
Daring Minds Therapy
  • Home
  • Meet Our Therapists
    • Sarah M. Worley, LIMHP
    • Erica R. Schroeder, LIMHP
    • Maureen A. DeRyke, PMSW
    • Stephen Capecci, LIMHP
    • Amber Pace, PLMHP
    • Bethany Mahan, PLMHP
    • Demarion Mapp, PLMHP
  • Services
  • Hours and Location
  • Intake Paperwork
  • More
    • Home
    • Meet Our Therapists
      • Sarah M. Worley, LIMHP
      • Erica R. Schroeder, LIMHP
      • Maureen A. DeRyke, PMSW
      • Stephen Capecci, LIMHP
      • Amber Pace, PLMHP
      • Bethany Mahan, PLMHP
      • Demarion Mapp, PLMHP
    • Services
    • Hours and Location
    • Intake Paperwork
  • Home
  • Meet Our Therapists
    • Sarah M. Worley, LIMHP
    • Erica R. Schroeder, LIMHP
    • Maureen A. DeRyke, PMSW
    • Stephen Capecci, LIMHP
    • Amber Pace, PLMHP
    • Bethany Mahan, PLMHP
    • Demarion Mapp, PLMHP
  • Services
  • Hours and Location
  • Intake Paperwork

Intake paperwork

Info Sheet- Patient Application (pdf)Download
Billing Policy (pdf)Download
Client Rights and Responsibilities.No Show (pdf)Download
HIPAA Compliance.Informed Consent (pdf)Download
Release of Information (pdf)Download
Child.Adolescent PTQ 2 (pdf)Download
Adult PTQ (pdf)Download
Telehealth Consent (pdf)Download
PHQ-9 and GAD-7 Form_a (pdf)Download

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