Open Heart Financial, LLC

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FORMS AND DOCUMENTS FOR DOWNLOADING

Directions to my office: (directions.doc)

NOTE: Items 1-6 are required for all clients.

1 - Contract (including confidentiality requirements): (contract.doc)
2 - HIPPA Regulations(Adobe PDF format): (privacysummary.pdf)
3 - HIPPA Regulations Received form: (hippa_received_form.doc)
4 - Release of Information for Electronic Claims (MSWord): (release_eclaim.doc)
5 - Medical History: (medical_history.doc)
6 - General Emotional Disposition Scale: (GEDS.pdf) (Adults 18+ only)

Items 6 and 7 required for teenage clients
7 - Consent to Treat Minor Child (17 or below): (consent_to_treat.doc)
8 - What I will tell your parents: (teenage_disclosures.doc)

For my Bible Reading Plan, click here. This is a very doable, practical Bible-reading program spread out over a three-year period. Over those three years, you will read the New Testament six times (once every six months), the Old Testament once, Psalms three times, and Proverbs nine times. Approx one-half hour per day. The file is a 30-page in Adobe PDF file (64kb)

My Statement of Faith: (statement_of_faith.doc)

To read the PDF file, you will need the free Adobe Acrobat Reader. If you do not already have this software loaded onto your computer, click here to jump to the download site for this software. Once you've successfully downloaded and installed the Adobe Acrobat Reader, then you can return to this page to read and/or download the PDF file.

E-mail

Note: There are occasions when an e-mail may get lost in cyberspace. I answer all e-mails, so please, if you don't hear from me within 24 hours, e-mail me again. Persistence will get you through.

At certain places on this Internet site, live 'links' to other Internet addresses can be accessed. Such external Internet addresses contain information created, published, maintained, or otherwise posted by institutions or organizations independent of Open Heart Christian Counseling. Open Heart Christian Counseling does not endorse, approve, certify, or control these external Internet addresses and does not guarantee or assume responsibility for the accuracy, completeness, efficacy, timeliness, or correct sequencing of information located at such addresses. Use of any information obtained from such addresses is voluntary, and reliance on it should only be undertaken after an independent review of its accuracy, completeness, efficacy, and timeliness.