You do not need to bring the HIPAA information to my office. That is for your use, but please read it carefully.

The Release of Information form (see below) should normally be completed to allow me to speak with the therapist or physician who referred you, and/or (on a separate sheet for each provider) the person who prescribes any psychologically-related medications for you. This is usually your primary care doctor or psychiatrist. I will send them a brief letter as a courtesy, notifying them that you are in treatment with me; this is also a requirement of many insurance companies. If you are not sure how to complete this, we will do it together at your first or second visit.

If the biological parents of the child or teenager being seen are not currently married, please complete the packet for divorced parents.

You do not need to bring the HIPAA information to my office. That is for your use, but please read it carefully.



The Release of Information form (see below) should normally be completed to allow me to speak with the therapist or physician who referred your child or teenager, and/or (on a separate sheet for each individual) the person who prescribes any psychologically-related medication for the child/teen. This is usually the primary care doctor, pediatrician or psychiatrist. I will then send them a brief letter as a courtesy, notifying them that your child or teenager is seeing me for treatment; this is also a requirement of many insurance companies. If you are not sure how to complete this form, we will do it together at your first or second visit.

CREDIT CARD AUTHORIZATION FORM, ALL CLIENTS


PLEASE DOWNLOAD AND COMPLETE IF YOU HAVE NOT ALREADY DONE THIS AS PART OF YOUR INITIAL REGISTRATION PACKET.

FAX TO: 469-219-3201     or

EMAIL TO:  DRSARAH@DRSARAHKRAMER.COM

This is for use in facilitating communication between the Psychologist and Others, including family members, institutions or healthcare providers.

Release of Information Form, All Clients

DOCUMENTS FOR PARENTS OF CHILDREN OR ADOLESCENTS (Birth-17)


BRING ALL PAPERWORK TO YOUR FIRST VISIT ALONG WITH YOUR INSURANCE

     CARD. IF YOU PREFER, You may scan and e-mail to:  

     drsarah@drsarahkramer.com.


Documents for ADULTS

(Adults, IF YOU HATE TO WRITE AND WANT TO 'FILL IN' A FORM, YOU MAY USE A BIOGRAPHICAL FORM ON THE therapyappointment.com site after your first visit INSTEAD OF THE ADULT HISTORY FORM IN THIS PACKET.)


Sarah H. Kramer, Ph.D, LLC.

Licensed Psychologist