Child Psychology Marin
Dr. Julie Maccarin, Ph.D., OT/L
Parent Consultation Forms
If you have scheduled a parent consultation session, please print the Intake Information and Informed Consent for Treatment below. Complete the forms and bring them to your first meeting. The HIPAA document is yours to keep.
This includes basic information about your child or children and your family.
Informed Consent for Parent Consultation
This includes basic contact information, payment information, etc.
Health Insurance Portability and Accountability Act
(HIPAA) This describes how information about you
and/or your child may be used and disclosed