registration forms for counseling patients
We have arranged things so that you can complete new patient paperwork from your computer or other device and securely submit it directly to your therapist. Please be sure that the form you are completing is tagged with your therapist’s name. If you prefer to complete paper forms, simply call or email your therapist. We can send you forms to print, complete, sign, and bring with you to your initial appointment.
New patients must fill out the "New Patient Information", "Acknowledgments & Informed Consent", and "Patient Insurance Information" forms prior to their initial appointment. Filling our these forms will not schedule an initial appointment. You must contact your therapist by phone or email to set this up.
The "Electronic Communications Informed Consent Form" is optional and need only be submitted if you would like to communicate with Into Balance using email, text messaging, or some other form of electronic communication.
Forms for Drew Buss, MS Ed
NEW PATIENT INFORMATION - Drew Buss, MS Ed
ACKNOWLEDGMENTS & INFORMED CONSENT - Drew Buss, MS Ed
Please click on and read the Practice Orientation and HIPAA Privacy documents. You will be asked to acknowledge that you have received and read through these in the following form.
PATIENT INSURANCE INFORMATION - Drew Buss, MS Ed
If you would like to communicate with us electronically (email, texting, etc.) please read the "Electronic Communications Information Form" and then complete and submit the "Patient Electronic Communications Informed Consent" form. If you have not completed this form, your communication with us at Into Balance will be limited to in-person contact, telephone contact, or the US Mail.