Document Download
Forms and Documents for:
Joumas Consulting
4545 East Shea Blvd., Suite 112
Phoenix, Arizona 85028
PDF File
Microsoft Word form fill file
These Adult packets includes:
Personal Data Sheet, Informed Consent for Treatment, Personal Intake / History (2 pgs), Authorization for Release and / or Exchange of Information. (Adult patients need to fill out all these forms (you may skip the authorization form until you meet with me)).
Please Read this
HIPAA Notice of Information Practices and Privacy Statement. YOU WILL BE ASKED TO SIGN ON THE CONSENT FOR THAT YOU HAVE READ THIS HIPPA NOTICE. You do not need to print it our unless you want it for your recordsPDF File