KRYSTAL HERNANDEZ-KANE, PSYCHOLOGIST LLC
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Important Forms & Documents

Please complete and return all paperwork before your first therapy appointment. 
​You may also download and submit these forms when updating your file. 

​
Notice of Privacy Practices
File Size: 243 kb
File Type: pdf
Download File

Professional Services and Informed Consent
File Size: 307 kb
File Type: pdf
Download File

Telepsychology Informed Consent
File Size: 210 kb
File Type: pdf
Download File

Intake Information
File Size: 167 kb
File Type: pdf
Download File

Billing Form
File Size: 152 kb
File Type: pdf
Download File

Payment Authorization Form
File Size: 143 kb
File Type: pdf
Download File

Policies for Couple Therapy
File Size: 147 kb
File Type: pdf
Download File

Release of Information Form
File Size: 123 kb
File Type: pdf
Download File

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