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 Consent
Walk & Talk Therapy Consent
Release of Information
Internal ROI - Transfer Providers
Upload Insurance Card & ID's
Self Pay Agreement
Opt Out of Insurance & Self Pay Agreement
Revocation of Patient Election to Self-Pay for Services (Opt back in to using insurance)
Credit Card Authorization
Safe Harbor Agreement
**Staff ONLY** RRC Staff Covid Procedures (for therapists seeing clients in person)