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Consent to Release Information Form
Welcome Packet Forms
Please note: Before completing these Welcome Packet Forms, we ask that you call our Business Office at (717) 234-3839 and speak with our Administrative staff in order to review your insurance and availability for appointments.
If you have already contacted the office and have been directed to complete the Welcome Packet Forms, please remember that all 5 forms are needed to provide you with services, particularly if you are seeking sessions through Telehealth. Thank you.
These on-line forms are delivered to New Passages via email. Please keep in mind that communications via email over the internet are not considered secure. Although it is unlikely, there is a possibility that information you include in an email can be intercepted and read by other parties besides the person to whom it is addressed. You can be assured, that once the information is received at New Passages, your information will be kept strictly private.