Forms | Radical Elevation

Electronic Forms

Welcome to Our Consent Forms Page

This page provides access to the electronic consent forms required for our continued services and operations. Please review and complete the necessary forms to ensure your information is accurate and up-to-date.

We appreciate your prompt attention to these forms and thank you for being part of the Radical Elevation community.

Minor Consent

Authorizes treatment for minors, granting permission for their participation in therapy or other services.

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Adult Consent

Authorizes treatment for adults, granting permission for their participation in therapy or other services.

*No need to complete this form if services are only for your child.*

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HIPAA

Outlines how your medical information will be used and protected under privacy laws.

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Telemedicine Consent

Explains the specifics of telemedicine services and secures your consent to participate remotely.

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Cancellation Policy Consent

Outlines expectations for cancellations, late cancellations, and no-shows, including potential fees and scheduling impacts.

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Artificial Intelligence Consent

Allows clients to understand and agree to the use of AI technology in supporting note-taking during sessions, ensuring privacy, transparency, and enhanced care.

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Immigration Evaluation Forms

These forms are required to begin or complete your psychological evaluation for immigration purposes. Please fill out all applicable documents to help us understand your case and provide accurate clinical support.

Immigration Evaluation Informed Consent

Explains the purpose and process of psychological evaluations for immigration cases.

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Authorization to Release and Obtain Health / Legal Information

Allows the exchange of health or legal information with approved third parties.

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Immigration Additional Information

Collects details to support your immigration-related psychological evaluation.

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