1. Please read:
| Notice of Privacy Practices |
2. Sign after reading "Notice of Privacy Practices"(#1)
| Acknowledgement of 'Notice of Privacy Practices' |
3. Read & Sign "Office Policies & General Information"
| Office Policies & General Informaion/Signature Page |
4. Fill out if necessary for SCLC to speak to others (school, physicians, etc.)
| Authorization to Release Information |
