Dr. Aileen Fullchange
FORMS
PRIVACY PRACTICES
Your privacy and confidentiality are important. Click here to read more about Fullchange Therapy's HIPAA compliance.
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INTAKE FORMS
Intake forms are available for adult individual, couples, adolescent, and child therapy and are completed on a secure online client portal.
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PRACTICE POLICIES
Learn more about Fullchange Therapy's practice policies by clicking here.
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INFORMED CONSENT
Know what to expect. This informed consent form describes more about what signing up for therapy is all about.
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NO SURPRISES ACT
Effective January 1, 2022, the No Surprises Act, which Congress passed as part of the Consolidated
Appropriations Act of 2021, is designed to protect patients from surprise bills for emergency services at
out-of-network facilities or for out-of-network providers at in-network facilities, holding them liable only
for in-network cost-sharing amounts. Click here for more information.
Ready to try therapy? Click here.