FORMS

Please download and fill out the forms below.

HIPPA regulations apply to therapy sessions, just as they do in doctors’ offices. The law protects the privacy of all communications between a patient and therapist. In most situations, I can only release information about your treatment to others if you sign a written authorization form that meets certain legal requirements imposed by HIPAA. There are some situations where I am required to disclose information without your consent or written authorization.

For more information on HIPPA, visit hhs.gov.  
For more information on confidentiality, review my Policies and Services Agreement Form.

I'd be happy to answer any questions.
Get In Touch
To schedule a 15-minute complimentary phone consultation, call 919.307.7889 or email at hpanara@mac.com to set up a convenient time for you.
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