Important Forms

Check-in at least 15 minutes early for your first appointment and bring the following:

  • Patient Registration Packet

  • Identification Card

  • Insurance Card

  • Form of Payment

If you are participating in an online session, the TeleTherapy Consent Form must be completed as well.

Patient Registration Packet

TeleTherapy Consent Form

Welcome Letter

For your records:

HIPPA Nevada Notice

HIPPA Patient Agreement

If you have an individual counseling appointment, complete one set of paperwork. Those with couples counseling appointments should complete one packet per person
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© 2020 Diana Wright, Psy.D., LLC.