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.

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

Provider/Patient Arbitration Agreement

HIPAA Patient Consent

Credit Card Authorization Form

Consent for Treatment

Agreement for Parents

Coordination of Care

Joint Custody

Patient Record

Insurance Info

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

Call for your free 15 minute consultation

760-522-8785

Heather Williams, LMFT | 2774 Jefferson St | Carlsbad, CA 92008 | Google Map