Ronitte Vilker, Ph.D.

Licensed Clinical Psychologist since 2002

FORMS

 

These forms can be filled out and submitted online

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✓ Adult Information Form

✓ Child Information Form

✓ Release of Information Form

These forms can be downloaded and read/printed

 

✓ Adult Information Form (or use online form above)

✓ Child Information Form (or use online form above)

✓ Release of Information Form (or use online form above)

✓ Client’s Rights & Responsibilities

✓ Client’s Informed Consent

✓ Cancellation & Fee Policy

✓ HIPPA Form