Solutionscornertampa.com

Mental Health Care and Therapy from Tampa Florida, Clari Heredia …

WebMAILING ADDRESS. Solutions Corner. 16350 Bruce B Downs Blvd, Unit 48283, Tampa, FL 33647. Solutions Corner ©. Scroll to top. Read in Spanish ». Mental Health Care, Marriage and Family Therapy in Tampa, Florida from counselor Clarillette Heredia, LMFT owner of …

Actived: 3 days ago

URL: https://solutionscornertampa.com/

Mental Health Care, Marriage and Family Therapy in Tampa, Florida

WebAbout Clari. Over 12 years of experience in mental health, specializing in Marriage and Family Therapy; bilingual in Spanish. I tailor my therapeutic style to your needs; ensuring you are in the best receptive mind frame, to inspire change, adopt and reinforce positive …

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Marriage and Family Therapy, Mental Health Care in Tampa, Florida

WebA Balanced Mind Brings A Balanced Life. Solutions Corner ©. Scroll to top. Read in Spanish ». Marriage, Family Therapy and Mental Health Care in Tampa, Florida available from counselor Clarillette Heredia, LMFT owner of Solutions Corner.

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Client Health Insurance Information

WebEmployee Assistance Program (EAP) Information (if applicable) Mental/Behavioral Health Insurance Information. I authorize the release of any medical or other information necessary to process this claim. I also request payment of benefits to Clarillette Heredia, LMFT of …

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Individual Therapy- Intake Form

Web11. What significant life changes or stressful events have you experienced recently? FAMILY MENTAL HEALTH HISTORY: In the section below identify if there is a family history of any of the following. If yes, please indicate the family member’s relationship to …

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Patient Rights and HIPAA authorizations

WebThe following specifies your rights about this authorization under the Health Insurance Portability and Accountability Act of 1996, as amended from time to time (“HIPAA”). 1. Tell your mental health professional if you don’t understand this authorization, and they will …

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Telemental Health Consent Form

Web(name of client) hereby consent to participate in Telehealth with. Clarillette Heredia, LMFT as part of my psychotherapy. I understand that Telehealth is the practice of delivering clinical health care services via technology assisted media or other electronic means between a …

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Couples Counseling

WebFAMILY MENTAL HEALTH HISTORY: In the section below identify if there is a family history of any of the following. If yes, please indicate the family member’s relationship to you in the space provided (father, grandmother, uncle, etc.).

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LIMITS OF CONFIDENTIALITY

WebClarillette Heredia, LMFT Bridgewater Professional Park 4913 Van Dyke Road Lutz Florida 33558 LIMITS OF CONFIDENTIALITY Contents of all therapy sessions are considered confidential.

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PATIENT RIGHTS AND HIPAA AUTHORIZATIONS

WebClarillette Heredia, LMFT Bridgewater Professional Park 4913 Van Dyke Road Lutz Florida 33558 PATIENT RIGHTS AND HIPAA AUTHORIZATIONS The following specifies your rights about this authorization under the Health Insurance Portability and Accountability

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Notice of Privacy Practices

WebThis practice is dedicated to maintaining the privacy of your personal health information. State law requires that no information about your treatment can be given without your permission. The only exceptions to this are: 1) if it is believed that there is clear and …

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Confidentiality Policy

WebContents of all therapy sessions are considered confidential. Both verbal information and written records about a client cannot be shared with another party without the written consent of the client or the client’s legal guardian. Noted exceptions are as follows: Duty …

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Clarillette Heredia, LMFT Bridgewater Professional Park 4913 …

WebClarillette Heredia, LMFT Bridgewater Professional Park 4913 Van Dyke Road Lutz Florida 33558 AUTHORIZATION FOR USE OR DISCLOSURE OF PROTECTED HEALTH INFORMATION

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LIMITS OF CONFIDENTIALITY

WebClarillette Heredia, LMFT Bridgewater Professional Park 4913 Van Dyke Road Lutz Florida 33558 LIMITS OF CONFIDENTIALITY Contents of all therapy sessions are considered confidential.

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Clarillette Heredia, LMFT Bridgewater Professional Park 4913 …

WebClarillette Heredia, LMFT Bridgewater Professional Park 4913 Van Dyke Road Lutz Florida 33558 Notice of Privacy Practices THIS NOTICE DESCTIBES HOW MEDICAL

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