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Fall Into to TA Workshop Information

Forms

MNCCTA Informed Consent for Psychotherap

Informed Consent for Psychotherapy

MNCCTA Therapeutic Assessment Informed C

Informed Consent for Therapeutic Assessment

MNCCTA HIPPA Notice 12.19.pdf

Health Insurance Portability and Accountability Act (HIPPA) Document

Release of Information 12.19.pdf

Release of Information

MNCCTA Financial Contract 7.21.pdf

Financial Contract

MNCCTA Guide for OON 11.19.pdf

Guide for Reimbursement of Out-of-Network Benefits for TA

Sample of a superbill for a Therapeutic Assessment

MNCCTA Super Bill Example.pdf

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