CENTER FOR ANXIETY & CHRONIC WORRY
937 Tahoe Blvd. Ste. 205
Incline Village, NV. 89451
Welcome to the Center for Anxiety & Chronic Worry. I look forward to working with you. Seen below, are the only forms you need to complete. I strongly reccommend that you download these forms print and fill them out, and then bring these forms with you to your initial session. Should you leave them at home, no "worries", I'll have copies waiting for you once you arrive. First, open the PDF file entitled "HIPAA Notice of Privacy Practices". Pretend to read it, leave it at home, and then download, print and sign the PDF document entitled, "Receipt of Notice of Privacy Practices". Be sure to bring this document with you. Finally, download, print out and sign the Adult or Minor Intake Registration Form, and bring this with you as well. That's it! Looking forward to meeting you! Again, please note that these Registation forms are only for those who are coming to the Center for FACE/FACE sessions. Those who are taking part in TELEMENTAL HEALTH sessions (i.e., phone, video conferencing, etc.) need to complete the Telemental Health Registration forms, as opposed to the forms seen below.
NEW PATIENT REGISTRATION FORMS FOR IN-PERSON SESSIONS (NOT TELEMENTAL HEALTH SESSIONS)
Dr. Barry C. Barmann