Psychotherapist, Consultant, Speaker

918.209.3902

918.209.3902

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    • Home
    • About
    • Service Suite
    • Emotional Wellness Blog
    • Military Life Blog
    • Contact
    • Helpful Forms
    • Reading Room
  • Home
  • About
  • Service Suite
  • Emotional Wellness Blog
  • Military Life Blog
  • Contact
  • Helpful Forms
  • Reading Room

Chris Cannida, MS, LPC-S, CCTP

Chris Cannida, MS, LPC-S, CCTP Chris Cannida, MS, LPC-S, CCTP Chris Cannida, MS, LPC-S, CCTP

individual counseling, Relationship growth, trauma recovery

individual counseling, Relationship growth, trauma recoveryindividual counseling, Relationship growth, trauma recovery

Helpful Information

Please read the following information prior to our first appointment. These documents are for your records only and there is no need to print them before your first session.  Should you have questions about the information, please feel free to ask.  

Please complete "Intake Forms" and "Telehealth Forms" and return or bring to your first session.

To scan and email all other forms: email to connect@chriscannida.com

PROFESSIONAL DISCLOSURE STATEMENT (doc)Download
HIPAA Notice (doc)Download
Social Media Policy (doc)Download
Office Policy and Fees (doc)Download

Intake Forms to Complete

Client Information (doc)Download
Consent for Treatment (doc)Download
Financial Consent (doc)Download
Authorization_CC_On_File (docx)Download

Telehealth Forms to Complete

Telemental Health Informed Consent (pdf)Download
Telemental Health Disclosure (pdf)Download

Consent Forms

Below are forms requiring signature in the event your information is to be shared with third parties. These are not required at your first session and will be discussed with you at that time, as needed.

Disclosure Consent.Individuals (doc)Download
Disclosure Consent.Couples (doc)Download

Copyright © 2017 chriscannida - All Rights Reserved.


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