Collaborative Alternatives

Collaborative Alternatives Client Therapy Forms

Please download and complete the forms below and bring them with you to your first session. There are four forms total. All forms are in Microsoft Word document format.

HIPAA Notice of Privacy Practice.doc (60 kb)

BSR Statement of Understanding and Office Policies.doc (56 kb)

Consent to Treat and Bill.doc (40 kb)

Client Intake Form (26 kb)

If you'd like, you can download all 4 forms at once in a .zip file.

Collaborative Alternatives Client Therapy Forms (56 kb zip file)

Please contact us if you have any questions or need any additional information.

Bauer, Shepherd & Ross and Associates
21685 Granada Ave
Cupertino, CA 95014
Phone: (408) 973-1001
Fax: (408) 973-9164