Our Policies & Forms

Our Policies:

• Social Media Policy

• HIPAA NPP Policy

Our Forms:

• Change of Contact Information

• Telehealth Informed Consent Form

• Release of Information Form

• Credit Card Authorization Form

• Non-Client (Collateral) Consent Form

• Limits of Confidentiality for Clinical Residents

• Child/Adolescent Social Health History Form

• DSM–5 Self-Rated Level 1 Cross-Cutting Symptom Measure, Child Age 11 to 17

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License Verification & Information:

• eLicense Ohio Professional Licensure Program

• CSWMFT Board Website