New Client Forms

[vc_row css=”.vc_custom_1502478378107{margin-bottom: -150px !important;}”][vc_column width=”1/2″][vc_btn title=”CLICK HERE TO FILL OUT OUR ONLINE FORM FOR TELEMEDICINE” link=”url:https%3A%2F%2Fchatterboxky.com%2Ftelehealth-consent-form%2F|title:Telehealth%20Consent%20Form||”][/vc_column][vc_column width=”1/2″][vc_column_text]

[/vc_column_text][/vc_column][/vc_row][vc_row full_width=”stretch_row_content”][vc_column width=”1/3″][vc_cta h2=”” txt_align=”center” shape=”square” style=”flat” color=”grey” add_button=”bottom” btn_title=”Download PDF” btn_shape=”square” btn_align=”center” btn_link=”url:https%3A%2F%2Fchatterboxky.com%2Fwp-content%2Fuploads%2F2021%2F07%2FParent-Interview-07052021.pdf|target:_blank” css=”.vc_custom_1627075672018{margin-top: 50px !important;margin-bottom: 50px !important;padding-top: 50px !important;padding-bottom: 50px !important;background-color: #ed1c24 !important;}”]

Parent
Interview

Last Updated July 2021[/vc_cta][/vc_column][vc_column width=”1/3″][vc_cta h2=”” txt_align=”center” shape=”square” style=”flat” color=”grey” add_button=”bottom” btn_title=”Download PDF” btn_shape=”square” btn_align=”center” btn_link=”url:https%3A%2F%2Fchatterboxky.com%2Fwp-content%2Fuploads%2F2021%2F07%2FPatient-Care-Policies-07052021-with-COVID.pdf|target:_blank” css=”.vc_custom_1627076114289{margin-top: 50px !important;margin-bottom: 50px !important;padding-top: 50px !important;padding-bottom: 50px !important;background-color: #1b75bc !important;}”]

Patient Care
Policies

Updated July 2021[/vc_cta][/vc_column][vc_column width=”1/3″][vc_cta h2=”” h2_font_container=”tag:h2|text_align:left|color:%23ffffff” txt_align=”center” shape=”square” style=”flat” color=”grey” add_button=”bottom” btn_title=”Download PDF” btn_shape=”square” btn_align=”center” use_custom_fonts_h2=”true” btn_link=”url:https%3A%2F%2Fchatterboxky.com%2Fwp-content%2Fuploads%2F2021%2F07%2FConsent-to-treat-07052021.pdf|target:_blank” css=”.vc_custom_1627076307350{margin-top: 50px !important;margin-bottom: 50px !important;padding-top: 50px !important;padding-bottom: 50px !important;background-color: #009344 !important;}”]

Consent to
Treat

Updated July 2021[/vc_cta][/vc_column][/vc_row][vc_row full_width=”stretch_row_content” css=”.vc_custom_1502478359689{margin-top: -150px !important;}”][vc_column width=”1/3″][vc_cta h2=”” txt_align=”center” shape=”square” style=”flat” color=”grey” add_button=”bottom” btn_title=”Download PDF” btn_shape=”square” btn_align=”center” btn_link=”url:https%3A%2F%2Fchatterboxky.com%2Fwp-content%2Fuploads%2F2021%2F07%2FPrivate-Pay-Policies-07232021.pdf|target:_blank” css=”.vc_custom_1627078549019{margin-top: 50px !important;margin-bottom: 50px !important;padding-top: 50px !important;padding-bottom: 50px !important;background-color: #1b75bc !important;}”]

Private Pay
Policies

Updated July 2021[/vc_cta][/vc_column][vc_column width=”1/3″][vc_cta h2=”” txt_align=”center” shape=”square” style=”flat” color=”grey” add_button=”bottom” btn_title=”Download PDF” btn_shape=”square” btn_align=”center” btn_link=”url:https%3A%2F%2Fchatterboxky.com%2Fwp-content%2Fuploads%2F2021%2F07%2FNew-Client-Payment-Info-07052021.pdf|target:_blank” css=”.vc_custom_1627076821094{margin-top: 50px !important;margin-bottom: 50px !important;padding-top: 50px !important;padding-bottom: 50px !important;background-color: #009344 !important;}”]

New Client
Payment Info

Updated July 2021[/vc_cta][/vc_column][vc_column width=”1/3″][vc_cta h2=”” h2_font_container=”tag:h2|text_align:left|color:%23ffffff” txt_align=”center” shape=”square” style=”flat” color=”grey” add_button=”bottom” btn_title=”Download PDF” btn_shape=”square” btn_align=”center” use_custom_fonts_h2=”true” btn_link=”url:https%3A%2F%2Fchatterboxky.com%2Fwp-content%2Fuploads%2F2021%2F07%2FNotice-of-Privacy-Practices-07052021.pdf|target:_blank” css=”.vc_custom_1627076975831{margin-top: 50px !important;margin-bottom: 50px !important;padding-top: 50px !important;padding-bottom: 50px !important;background-color: #ed1c24 !important;}” h2_link=”|||”]

Notice of
Privacy Practices

Updated July 2021[/vc_cta][/vc_column][/vc_row]