New Client Forms Beaver Builder

Ruth Lynch, LMFT
714-717-1299

Telehealth Provider

For Coaching inquiries:
https://hspcoachruth.com/

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New Client Forms Beaver Builder

For appointment consideration please go to the link below and fill out the form. Ruth Lynch will respond to your request at her earliest convenience.

https://forms.gle/7BuhCoLvdhMsPhw18

All new clients, complete the following forms and submit them as attachments to RuthLynch211@gmail.com, prior to your first session.

  • New Client Questionnaire
  • Limits of Patient Confidentiality
  • Acknowledgment of Privacy Practices (HIPAA)
  • Telehealth Document
  • Court Waiver

Parents and Legal Guardian, complete the additional form for your minor and submit prior to your first session.

  • Parental/Guardian Consent Form

New Client Questionnaire

Limits of Patient Confidentiality

Acknowledgment of Privacy Practices(HIPAA)

Telehealth Document

Parental/Guardian Consent Form

Court Waiver

Note: To download Adobe Acrobat Reader for free, click here.

Helpful Forms
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Click here to view and print forms for your appointment.