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Empowering Nurse Practitioners Into Private Practice

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TeleHealth Consent, Policy, & Agreement (PDF)

TeleHealth Consent, Policy, & Agreement (PDF)

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Psychoactive Medication Therapy Informed Consent (PDF)

Psychoactive Medication Therapy Informed Consent (PDF)

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Credit Card on File Consent (PDF)

Credit Card on File Consent (PDF)

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Good Faith Estimate - Nurse Practitioner or Therapist (PDF)

Good Faith Estimate - Nurse Practitioner or Therapist (PDF)

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Consent to Release Medical Information To Practice (PDF)

Consent to Release Medical Information To Practice (PDF)

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Consent to Release Medical Information from Practice (PDF)

Consent to Release Medical Information from Practice (PDF)

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Practice Fee Schedule (PDF)

Practice Fee Schedule (PDF)

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Mental Health & Wellness Treatment Agreement (PDF)

Mental Health & Wellness Treatment Agreement (PDF)

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Consent for Stimulant Use (PDF)

Consent for Stimulant Use (PDF)

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Consent for Mental Health Treatment During Pregnancy (PDF)

Consent for Mental Health Treatment During Pregnancy (PDF)

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Benzodiazepine Informed Consent (PDF)

Benzodiazepine Informed Consent (PDF)

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Psychiatric Advance Directives - Taking Charge of Your Care (Educational PDF)

Psychiatric Advance Directives - Taking Charge of Your Care (Educational PDF)

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Patient Election of Self-Pay Services (PDF)

Patient Election of Self-Pay Services (PDF)

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Medical History Consent (PDF)

Medical History Consent (PDF)

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Medicare Patient & Provider Opt Out Private Contract (PDF)

Medicare Patient & Provider Opt Out Private Contract (PDF)

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HIPAA Revocation of Authorization Form (PDF)

HIPAA Revocation of Authorization Form (PDF)

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