Home
About Us
Services Provided
Individual
Children
Families
Couples
Addiction
Common Questions
Rates & Insurance
Contact Us
Home
About Us
Services Provided
Individual
Children
Families
Couples
Addiction
Common Questions
Rates & Insurance
Contact Us
Necessary Forms
Intake Form pg 1
Intake Form pg 2
Financial Form
Client Info Patrick
Client Info Linda
Forms to complete before initial visit with Rainya:
Patient Rights under HIPPA
Adult Client Intake – Billing Policy
Youth Client Intake – Billing Policy
Authorization for Release of Information
Minor Consent Form
