Psychologically Speaking with Dr. Jack Singer, LLC
Please read these HIPPA forms and if you have no questions, please sign the signature page and fax it to me, along with the forms you fill out below (either the minor or adult forms).Thank you.
New Client Information Sheets Adults
New Client Information Sheets Minors
- Print form (2 pages)
- Fill in all information and sign
- Scan forms and email to email@example.com
Contact Dr. Jack Singer
Required fields are marked *.