Forms

Welcome

If you are a new client, please complete the following forms:

Optional:

Required:

  • Professional Disclosure and Informed Consent
  • Limits of Liability and Cancelation Policy
  • New Client Intake Form
  • Client Rights and HIPAA Form

Simply fill-in the forms  provided below and press submit when completed

Professional Disclosure Informed Consent Limits of Liability and Cancelation Policy New Client Intake Form Client Rights and HIPAA Authorizations

Contact the Practitioner

Location

Availability

Appointment for: Rosalind Hilkey, MA, BCC

Monday:

7:00 pm-9:00 pm

Tuesday:

Closed

Wednesday:

7:00 pm-9:00 pm

Thursday:

Closed

Friday:

Closed

Saturday:

9:00 am-11:00 am

Sunday:

Closed