Secure links to our forms in IntakeQ.
Copy and paste the link in an email, etc. to your client. The completed form will be uploaded into the Patient Chart Documents in Valant.
RRC Covid Informed Consenthttps://intakeq.com/new/8DsApE
Walk & Talk Therapy Consenthttps://intakeq.com/new/KF5wVb
Release of Informationhttps://intakeq.com/new/ij8CpP
Internal ROI - Transfer Providershttps://intakeq.com/new/pYsb0P
Upload Insurance Card & ID'shttps://intakeq.com/new/Buo3Tz
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Self Pay Agreementhttps://intakeq.com/new/ZADe77
Opt Out of Insurance & Self Pay Agreementhttps://intakeq.com/new/HVFEDi
Revocation of Patient Election to Self-Pay for Services (Opt back in to using insurance)https://intakeq.com/new/PT0dHI
Credit Card Authorizationhttps://intakeq.com/new/iY3DFS
Safe Harbor Agreementhttps://intakeq.com/new/UX1qvK
**Staff ONLY** RRC Staff Covid Procedures (for therapists seeing clients in person)https://intakeq.com/new/U8myuL
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