Attentivecounseling.com

Attentive Counseling – Welcome to Attentive Counseling.

WEBHi, my name is Michala Senarsky (LPC), and I thrive on interacting with people of varied backgrounds. I see my relationship with you as an attempt to truly understand your …

Actived: 2 days ago

URL: https://attentivecounseling.com/

Patient Health Questionnaire (PHQ-9)

WEBPATIENT HEALTH QUESTIONNAIRE (PHQ-9) NAME: DATE: Over the last 2 weeks, how often have you been bothered by any of the following problems? Not at all Several days …

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D L Confidential H I N Patient Information

WEBcorrect and complete. I hereby authorize this office and/or provider to release all information and/or PHI (Protected Health Information) necessary to process any and all claims and …

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Telehealth Informed Consent

WEBI understand that Telehealth is a mode of delivering health care services, including psychotherapy, via communication technologies (e.g. Internet or phone) to facilitate …

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Authorization for Use and/or Disclosure of Confidential and/or

WEB☐ All health information pertaining to my medical history, mental or physical condition; OR only the following types of health information (limitations on use): _____ _____ ☐ I …

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Contact Me – Attentive Counseling

WEBContact Me. To schedule an appointment, please provide your contact information via the form on this page. Telehealth (audio/video) sessions are also available. Office Address: …

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HIPAA Privacy and Security Notice.

WEBhealth matters in a certain way or at a certain location. We will accommodate reasonable requests. We may require information regarding how payment will be handled or …

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Professional Disclosure Statement & Informed Consent to …

WEBemergency room or hospital. If your call is of an urgent mental health nature and not an emergency, you may call the Multnomah County Crisis Line at (503) 988-4888, …

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