Robert Hamm, Ph.D.
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Forms

When you arrive for your first appointment, I will have you complete some forms before we meet.
They include a “Patient Questionnaire,” an “Informed Consent” form, and a “Privacy Policies Notice (HIPAA).”
To save time for your first session, you may also download them from this page and then bring the completed
and signed forms to your appointment.
Download “PT QUESTIONNAIRE”
File Size: 22 kb
File Type: doc
Download File

Download “Informed Consent”
File Size: 25 kb
File Type: doc
Download File

Download “HIPAA notice”
File Size: 43 kb
File Type: doc
Download File

Download "Telehealth Informed Consent"
File Size: 34 kb
File Type: doc
Download File

Robert Hamm, Ph.D.  - 10 N Main St #315, West Hartford, CT 06107  -0(860) 236-2131

  • Home
    • Personal Growth
  • Philosophy
  • Problems Treated
  • About
    • FAQ's
  • Payment
  • Forms
  • TV Show
  • Testimonials
  • Blog
  • Contact Us