Please send your forms to the office of Dr. Ellen Dye prior to your first appointment. You can send your forms to the office online (click on the title of the form) or download them and send them by mail. The online forms are sent to the office using a secure, encrypted, and HIPAA-compliant method.
Client Information Form Download
Electronic Communication Authorization Download
Informed Consent Form Download
Notice of Privacy Practices Client Acknowledgement Download
Credit Card Authorization Form Download
Informed Consent for Treatment Download
Notice of Privacy Practices Download
Exchange of Information Form Download