Head Quarters for Heart Change
406-252-1177
225 N. 23rd. Street
Billings, MT 59101

Fax: 406-252-1176

info@hq4hc.com

Find us On Facebook!

HELPFUL FORMS/POLICIES

If you're a new client, please feel free to complete and review the following forms and bring them to your first therapy session.

  • Client Intake Form
  • Welcome to HQ4HC - policies to be aware of
  • Confidentiality statement/HIPAA
  • Social Media Policy

If you would like your therapist to coordinate care with another provider (for example, your psychiatrist, primary care physician, school counselor etc.), complete this form to authorize release of psychotherapy information:

  • Authorization to Disclose Confidnetial Information Form
Client intake Form  
Welcome to HQ4HC
 
Confidentiality statement  
Social Media Policy  
Authorization to Disclose Information Form  
 

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


©2012 by TherapySites.com. All rights reserved.