Veronica K. Gulezian
LCPC, CADC, EMDR Trained
Below are the counseling forms we address during our first session. If you want to read them beforehand, or even print and fill them out, that will allow us for more time to talk when we meet. I will always have hard copies at my office. You will need to sign all of these forms indicating you have read them and understand them before we begin our counseling work together.
For individuals paying out-of-pocket, you do NOT need to fill out the Insurance Release document. I currently accept BlueCross BlueShield PPO and Optum/United Healthcare.
I also make the HIPAA Notice of Privacy Practices provided by HHS.gov available on my website (no need to print this, as I will give you a copy at our first session; I do encourage you to read it beforehand).