Documents for Clients

Documents

Documents are provided here for your review. Please do reach out with any questions you have about information you find here!

Please do NOT email me documents with sensitive information on them. I will collect all necessary documents over my secure platform prior to your first scheduled session.

Consent for Services

Billing Agreement

HIPAA Notice of Privacy Practices

In Person Agreement

Teletherapy Agreement

Authorization to Release or Exchange Information

Reduced Fee Request

Good Faith Estimate

Stone and Ivy Relationship Counseling

Location

150 Providence Rd
Suite 100-D
Chapel Hill, NC 27514

Contact

Phone: 919-873-4323
Fax: 919-646-9589
info@stoneivycounseling.com