Accepting new clients

Holly Maddy, LLC

Holly Maddy, LLCHolly Maddy, LLCHolly Maddy, LLC

(859) 431-6333

  • Home
  • What to expect
  • Forms
  • Payment
  • Telehealth
  • Resources
  • Contact Us
  • Consulting/Supervision
  • Join Our Team
  • More
    • Home
    • What to expect
    • Forms
    • Payment
    • Telehealth
    • Resources
    • Contact Us
    • Consulting/Supervision
    • Join Our Team

(859) 431-6333

Holly Maddy, LLC

Holly Maddy, LLCHolly Maddy, LLCHolly Maddy, LLC
  • Home
  • What to expect
  • Forms
  • Payment
  • Telehealth
  • Resources
  • Contact Us
  • Consulting/Supervision
  • Join Our Team

Forms

New Patient Forms*

These forms are now available on the online portal for you to complete digitally. You will be emailed a link to make a user name and password to get started. If you prefer to print and complete the forms are below. 

1. Welcome 2026 (pdf)Download
2a. Informed Consent Adult (pdf)Download
2b. Informed Consent Child (pdf)Download
3. PCP Release of Information (pdf)Download
4. Financial Agreement (pdf)Download
5. Telehealth Consent (pdf)Download
6. AI Assisted Documentation (Optional) (pdf)Download
7. HIPAA (pdf)Download
8. Standard Intake Questionnaire (pdf)Download
9. Disclosure Form (Emily's clients only) (pdf)Download

Copyright © 2018 Holly Maddy, LLC - All Rights Reserved.


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