(785)550-3944 contact@crystalmccomas.com
Crystal A. McComas, LSCSW, LLC
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Client Forms

Please fill out these required forms prior to your first session. Also, be sure to bring a copy of your insurance card, and your driver’s license. You may be asked to complete additional assessment forms as necessary.

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Acknowledgement Notice of Privacy Practices

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Telemental Health Informed Consent LLC

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Consent to Treatment

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Notice of Privacy Practices

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Payment Agreement

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Authorization

Location

817 Alabama St.
Lawrence, KS 66044
785-550-3944
contact@crystalmccomas.com
© 2019 Crystal McComas, LSCSW