PATIENT INTAKE (PART TWO)
Thank you for taking the time to complete this information. Your intake will include four parts.
PART ONE: collecting general information about you and financial information for billing purposes
PART TWO: gathering biopsychosocial information (e.g., ranging from how you’re feeling today to habits and history)
PART THREE: reviewing Kizaur Counseling privacy practices
PART FOUR: consenting to being treated by Kizaur Counseling
After you complete each part of your intake and click the "SUBMIT" button, you will then be taken to the next part.
All the information you share during this process remains completely confidential and helps me better help you.