Welcome to Monya Cohen, Psy.D., LLC
Hello! Once you are on this page, you and I have agreed to work together and have reviewed your behavioral health insurance or your payment options.
Before our first session, please complete the forms below to help me understand you a little better, and help us make the best use of our time together. Several are privacy and confidentiality documents required by HIPAA post pandemic.
I am looking forward to working with you!
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Intake Form
Please fill this out to help me work with you better.
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Client Services Agreement
Information about my professional services and business policies.
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Credit Card Permission Form
This authorizes me to charge your credit card.
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Authorization for Release of Clinical Record
This allows other providers to share your health care records with me.
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Notice of Privacy Policies
How your information may be used and disclosed and how you can access it.
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Video Conferencing Agreement
Explains how we may use video conferencing when we work together.
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Confidential Health Information
How you want to receive your own health information.
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Special Handling of Health Information
You may want your health information shared with another adult or adults close to you.