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Counseling and Psychological Services of the Upstate

Forms

Below are forms I ask you to complete prior to your first appointment or at other times as needed.

Intake Forms

Additional Forms

Telehealth Forms

COVID Policies

Client Intake Paperwork

Contact and Insurance Information

Privacy Statement (HIPAA)

Informed Consent: Minors

Release of Information

Billing Policies

Informed Consent for Treatment

Letter To Prospective Clients

Quality of Care Form

Confidentiality Protocol

COVID Practices

No Surprise Act

No Surprise Notice

New Client Initial Estimate

Informed Consent

Formatting for forms may not be correct on mobile devices

These form are property of CAPSU. Do not duplicate without written permission.

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