{"id":11050,"date":"2018-09-17T22:40:22","date_gmt":"2018-09-17T22:40:22","guid":{"rendered":"http:\/\/banebow.org\/?page_id=11050"},"modified":"2021-10-01T16:50:22","modified_gmt":"2021-10-01T16:50:22","slug":"forms","status":"publish","type":"page","link":"https:\/\/banebow.org\/forms\/","title":{"rendered":"New Clients"},"content":{"rendered":"

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New Clients<\/strong><\/h1>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”3.22″ background_color=”#ffffff” custom_padding=”54px|0px|54px|0px” global_colors_info=”{}”][et_pb_row _builder_version=”3.25″ global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.9.7″ header_text_align=”left” global_colors_info=”{}”]<\/p>\n

Client Forms
<\/strong><\/h1>\n

Please print and fill out the following forms prior to your first appointment.<\/span><\/p>\n

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Intake Forms:<\/h3>\n

Client Intake Form (adult)<\/a><\/p>\n

Client Intake Form (child)<\/a><\/p>\n

Client Intake Form (couple)<\/a><\/p>\n

Client Intake Form (family)<\/a>
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Health Forms:<\/h3>\n

Symptom Checklist<\/a>
\n[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”3.25″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”3.27.4″ animation_direction=”left” global_colors_info=”{}”]<\/p>\n

Policy Forms:<\/h3>\n

Practice Policies<\/a><\/p>\n

Social Media Policy<\/a>
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HIPAA Forms:<\/h3>\n

HIPAA Privacy Policy<\/a><\/p>\n

Receipt of HIPAA Policy<\/a>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

New ClientsClient Forms Please print and fill out the following forms prior to your first appointment.Intake Forms: Client Intake Form (adult) Client Intake Form (child) Client Intake Form (couple) Client […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"_links":{"self":[{"href":"https:\/\/banebow.org\/wp-json\/wp\/v2\/pages\/11050"}],"collection":[{"href":"https:\/\/banebow.org\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/banebow.org\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/banebow.org\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/banebow.org\/wp-json\/wp\/v2\/comments?post=11050"}],"version-history":[{"count":0,"href":"https:\/\/banebow.org\/wp-json\/wp\/v2\/pages\/11050\/revisions"}],"wp:attachment":[{"href":"https:\/\/banebow.org\/wp-json\/wp\/v2\/media?parent=11050"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}