Elizabeth Santana LCSW, CASAC, PC
Psychotherapy
Forms
Please sign and return the first six forms only.The Notice of Privacy Practices form is FYI and explains HIPAA Compliance Regulations in detail. You just need to return the acknowledgement of receipt form.
The other forms will be signed as needed..
Mental_Health_Intake.pdf
cancellation-policy.pdf
Confidentiality-Form.pdf
Electronic_Communication_Informed_Consent.pdf
Consent-for-Video-Session-Liz-S.pdf
Acknowledgement-of-Receipt-of-Notice-of-Privacy-Practices.pdf
Notice-of-Privacy-Practices.pdf
Informed_consent_for_in-person_session_during_Covid-19 Pandemic.pdf
Consent-for-In-Person-Social-Work-Services-Covid.pdf
HIPAA_Authorization.pdf
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© 2025 Elizabeth Santana LCSW, PC.
Disclaimer: This website is for informational purposes only and is not intended to offer mental health advice. The blog is a self-help tool that expresses the opinion of the writer and is there for your own use. It is not intended to replace mental health counseling / psychotherapy. You should consult a licensed mental health professional for specific guidance regarding your concerns.