Forms & Resources

By 333 Therapeutics Consulting LLC

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Mental health is one of your greatest assets

Whether you are dealing with stress, a divorce, or a natural disaster, it’s important to learn what’s affecting your health. Here are some powerful tools that you can use to take charge of your health. Learn more about whole health and what you can do to improve your overall wellness.

Not sure what your next steps could be? You are not alone. Call us and we can help and guide you in the right direction. 

Forms

New Patient Demographic Information

Please fill out all personal information accurately including emergency contact number

New Patient Personal Health History

All current medications and health history should be accurately stated including women who are pregnant and taking birth control

Patient Consent To Treat

Please fill out this form for medical consent and treatment done by 333 Therapeutic Consulting LLC

Telehealth Consent To Treat Form

This service is not the same as a direct patient or healthcare provider visit. For those who will avail this service, please fill out this form.

Financial Agreement and Statement of Fees

Client Rights and Responsibilities and Grievance Procedures

Patient Attendance Policy

ROI Form

Psychotropic Medications and Other Medications

Resources

You are not alone!

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