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 together, please complete the forms below to help me understand you a little more, 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
Information you share in this form helps make us work together better.
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Client Services Agreement
This form shares 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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Confidential Health Information
Indicates how you want to receive your minor’s health information.
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Video Conferencing Agreement
Explains how we may use video conferencing when we work together.
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Authorization to Release Health Record
This lets your other providers share your health 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.