PSYCHOTHERAPY FORMS
Download & print Forms
In order to save time when you come to your appointment, you may print out and complete the registration forms ahead of time. Or, if you prefer, you can just complete the paperwork at the time that you arrive for your appointment.
New Psychotherapy Patients
- Notice of Privacy Practices
- Privacy Practices Acknowledgement
- Informed Consent for Psychotherapy
- Social Media Policy
- Registration
- COVID Informed Consent
INDIVIDUAL FORMS
Registration Form
This form includes some basic information about you.
HIPAA policies
This is information about privacy policies for your records (nothing to sign).
HIPAA Acknowledgement Form
This is a document confirming that you have been given the above HIPAA policies.
Consent FOrm (for psychotherapy)
This document provides informed consent for psychotherapy.
Social Media Policy
This document provides information about my social media policy.
COVID Informed Consent form
This document provides information consent for in-person appointments.
QUESTIONS?
Feel free to call our office for more information.
Contact Dr. Laila Spina
Office ADDRESS
Eaton Square – Villa Professional Plaza
438 Hobron Lane, Suite #415
Honolulu, Hawaii 96815