D’Amico & Associates Documents

Counseling Documents

**Microsoft Word is required to complete our digitally fillable forms**

Instructions to complete forms: click on the link to download, open the Word document in Microsoft Word, enable editing in the Word document, complete with your information, save to your computer and attach your completed form in an email to our Office Administrator.

General Client Intake

Notice of Privacy Practices/HIPAA

Informed Consent for General Clients

Informed Consent to Telehealth

Consent for Treatment of Children or Adolescents

Reciprocal Release Consent

Payment Authorization Form

Court-Ordered Services Documents

**Microsoft Word is required to complete our digitally fillable forms**

Instructions to complete forms: click on the link to download, open the Word document in Microsoft Word, enable editing in the Word document, complete with your information, save to your computer and attach your completed form in an email to our Office Administrator.

Client Intake for Court-Ordered Services

Informed Consent for Court-Ordered Services

Informed Consent to Telehealth

Payment Authorization Form

HOPE for Recovery Documents

**Microsoft Word is required to complete our digitally fillable forms**

Instructions to complete forms: click on the link to download, open the Word document in Microsoft Word, enable editing in the Word document, complete with your information, save to your computer and attach your completed form in an email to our Office Administrator.

HOPE for Recovery Client Intake

HOPE Informed Consent to Telehealth

Payment Authorization Form

DUI Evaluation Client Provided Requirements