
New Client Forms
1. Adult Intake Form
Complete your intake form for your upcoming QHHT session.
2. Telemental Health Consent Form
3. Child & Adolescent Form
Pay securely for your upcoming QHHT session.
4. HIPPA Notice Of Privacy Form
5. Signature For HIPPA Notice
6. Authorization Form

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Audrey Oxenhorn, MSW, LCSW
QHHT Practitioner
Portland, Maine
207-939-4070
110 Auburn St
Portland, ME 04103
Sarasota, FL 34236

