Kirk L. Thoreson, Psy.D.

Disclosure Form.doc:  This form provides you with information about me, your client rights, and the practice of psychotherapy and psychological assessment.  Please bring this form to your first appointment. 

 

HIPPA Form.doc:  This form provides you with information about my procedures to keep your records private and confidential.  Please bring this form to your first appointment.

 

Credit Card Authorization.docx:  I do accept credit cards (Visa, Mastercard, Discovery) in my practice.  In order to do so, please fill out this form.

 

Consent to Release Information.doc:  This form enables you to give me permission to speak with other providers or people who know. 

 

Parent/Caregiver Information Form.doc:  Using this form, please provide me with important information about your child and family.  Please bring this form to your first appointment.