{"id":284,"date":"2015-10-22T13:28:40","date_gmt":"2015-10-22T20:28:40","guid":{"rendered":"http:\/\/www.kimberlycwonglcsw.com\/?page_id=284"},"modified":"2024-09-17T13:36:12","modified_gmt":"2024-09-17T20:36:12","slug":"forms-policies","status":"publish","type":"page","link":"http:\/\/www.kimberlycwonglcsw.com\/?page_id=284","title":{"rendered":"Forms &#038; Policies"},"content":{"rendered":"<h2>Forms<\/h2>\n<p style=\"text-align: center;\"><strong><em>I provide in-person and telehealth video sessions<\/em><\/strong><\/p>\n<p>I generally only provide in-person therapy in my office, however under certain conditions, telehealth such as video or phone sessions, may be an important temporary option.<\/p>\n<ul>\n<li>Telehealth Agreement:\u00a0\u00a0<a href=\"http:\/\/www.kimberlycwonglcsw.com\/wp-content\/uploads\/2021\/09\/Telehealth-Agrmt-2021.pdf\" target=\"_blank\" rel=\"noopener\">Telehealth Agreement<\/a><\/li>\n<\/ul>\n<p>If you would like to complete the forms before you arrive for the first appointment, you may download and complete the appropriate forms and bring them with you. \u00a0If you complete them ahead of time, you do not need to arrive early.<\/p>\n<ul>\n<li>Client Contact Form: <a href=\"http:\/\/www.kimberlycwonglcsw.com\/wp-content\/uploads\/2021\/09\/Client-Info-2021.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Client Information<\/a><\/li>\n<li>Wellness Questionnaire:\u00a0<a href=\"http:\/\/www.kimberlycwonglcsw.com\/wp-content\/uploads\/2015\/03\/Wellness-Adult-KCW.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Wellness Questionnaire<\/a><\/li>\n<li>Notice of Privacy Practices Acknowledgment:\u00a0<a href=\"http:\/\/www.kimberlycwonglcsw.com\/wp-content\/uploads\/2021\/09\/NPP-Acknowledge-2021.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">NPP Acknowledge<\/a><\/li>\n<\/ul>\n<p>Insurance Forms if applicable:<\/p>\n<ul>\n<li>Consent Form:\u00a0<a href=\"http:\/\/www.kimberlycwonglcsw.com\/wp-content\/uploads\/2021\/09\/Insurance-Consent-2021.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Insurance Consent<\/a>\u00a0<em>(complete if you are using insurance or other payor)<\/em><\/li>\n<li>Insurance Claim Form:\u00a0<a href=\"http:\/\/www.kimberlycwonglcsw.com\/wp-content\/uploads\/2015\/03\/Ins-Claim1500-2pg-blk.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Ins Claim1500<\/a>\u00a0<em>(complete if you are using insurance or other payor)<\/em><\/li>\n<\/ul>\n<h2>Policies<\/h2>\n<ul>\n<li>Notice of Privacy Practices Policy: <a href=\"http:\/\/www.kimberlycwonglcsw.com\/wp-content\/uploads\/2015\/03\/NPP-Notice-Privacy-Practices.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">NPP-Notice Privacy Practices<\/a><\/li>\n<li>Notice to Clients:\u00a0 <a href=\"http:\/\/www.kimberlycwonglcsw.com\/wp-content\/uploads\/2021\/02\/Notice-to-Clients-bbs-2021.02.25.pdf\">Notice to Clients<\/a><\/li>\n<\/ul>\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Forms I provide in-person and telehealth video sessions I generally only provide in-person therapy in my office, however under certain conditions, telehealth such as video or phone sessions, may be an important temporary option. Telehealth Agreement:\u00a0\u00a0Telehealth Agreement If you would like to complete the forms before you arrive for the first appointment, you may download [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":101,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-284","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"http:\/\/www.kimberlycwonglcsw.com\/index.php?rest_route=\/wp\/v2\/pages\/284","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.kimberlycwonglcsw.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/www.kimberlycwonglcsw.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/www.kimberlycwonglcsw.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.kimberlycwonglcsw.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=284"}],"version-history":[{"count":10,"href":"http:\/\/www.kimberlycwonglcsw.com\/index.php?rest_route=\/wp\/v2\/pages\/284\/revisions"}],"predecessor-version":[{"id":524,"href":"http:\/\/www.kimberlycwonglcsw.com\/index.php?rest_route=\/wp\/v2\/pages\/284\/revisions\/524"}],"up":[{"embeddable":true,"href":"http:\/\/www.kimberlycwonglcsw.com\/index.php?rest_route=\/wp\/v2\/pages\/101"}],"wp:attachment":[{"href":"http:\/\/www.kimberlycwonglcsw.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=284"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}