Downloadable Forms

Please Fill Out The Forms Prior To Your Initial Consultation

Telepractice Informed Consent

Please sign this and email it to seth@globalalliedhealth.org before your initial consultation.

Therapy Contract

Please sign this and email it to seth@globalalliedhealth.org after your initial consultation and before starting therapy.

HIPAA Privacy Policy

You can download our HIPAA privacy policy at any time.  Additionally, you can find it published on our site here:  https://therapyinjapan.com/hipaa-privacy-policy/

HIPAA Privacy Policy Signature Page

Please sign this and email it to seth@globalalliedhealth.org before your initial consultation.