Client Forms

The following documents contain important information regarding my professional services.
Please feel free to ask me questions about these services at any time.

Important: please print and fill out your form(s) completely prior to your appointment.

You can download the appropriate forms below (PDF format):

Provider/Patient Arbitration Agreement

HIPAA Patient Consent

Credit Card Authorization Form

Consent for Treatment

Coordination of Care

Informed Consent Addendum

Patient Record

Joint Custody

Agreement for Parents

Call for your free 15 minute consultation

760-522-8785

Heather Williams, LMFT | 2585 Pio Pico Dr, Suite 100, Carlsbad CA 92008 | Google Map