Beth Harp, LPC
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forms...we have to treat the paperwork, too


If you're a new client, please complete the following forms and bring them to your first therapy session, or email them to me at BethHarpLPC@yahoo.com
client_information_sheet.doc
File Size: 42 kb
File Type: doc
Download File

informed_consent_and_business_policies.docx
File Size: 28 kb
File Type: docx
Download File

office_policies_information_sheet.docx
File Size: 15 kb
File Type: docx
Download File


If you are under the care of another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of information so that we can coordinate your care.
authorization_to_release.doc
File Size: 32 kb
File Type: doc
Download File

To authorize use of a credit card on file, complete this form.
card_on_file_authorization_form-4ea81e1ef9f611cf6d0e88274591adea.pdf
File Size: 149 kb
File Type: pdf
Download File


Note: To download Adobe Acrobat Reader for free, click here.
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  • Home
  • About Me
  • Services
  • Online Appointments
  • Common Questions
  • Rates and Insurance
  • Forms
  • Make a Payment
  • Privacy and Policy
  • Links
  • Contact Me
  • Blog