top of page

CARE-LA
CHILD ANXIETY REDUCTION EXPERTS

CARE-LA
Patient Evaluation Forms

Please click to download or print these fillable PDFs

Anchor 1

CARE-LA_Child_Patient_Information_Form_Fillable

CARE-LA_Release_of_Information_Fillable.pdf

CARE-LA_Telehealth_Consent_Form_Fillable.pdf

CARE-LA_Adult_Patient_Information_Form_Fillable

CARE-LA_Payment_Authorization_Form_Fillable.pdf

CARE-LA_Covid-19_In-Person_Consent_Form_Fillable.pdf

CARE-LA_HIPAA_Form_Fillable.pdf

CARE-LA_Consent_For_Treatment_Fillable.pdf

CARE-LA_Email_Communication_Consent_Form

CARE-LA_Consent_for_Psychiatry_Services.pdf

bottom of page