Sladich Counseling

Sladich CounselingSladich CounselingSladich Counseling
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Sladich Counseling

Sladich CounselingSladich CounselingSladich Counseling

Signed in as:

filler@godaddy.com

  • Home
  • About
  • Therapy
  • Contact
  • FAQs
  • Forms
  • PAY ONLINE

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Hipaa privacy notice

Please click the link below to download and view HIPAA information.  

HIPAA Notice of Privacy, SC (pdf)

Download

NEW CLIENT FORMS (ONLINE)

Please complete the following forms prior to your first visit. A Google account is required to complete some of the required forms.  These Google Forms are secure, encrypted, and HIPAA compliant.

  • Click here to complete the Patient Health Questionnaire. 
  • Click here to read and sign my Professional Disclosure Statement.
  • Click here to complete the Client Demographics form and upload your ID.
  • Click here to complete the Billing Information and upload your insurance card.
  • Click here to complete the Authorization to Release and Exchange Healthcare Information.  This form is only needed if sharing information with a prior therapist or a psychiatrist. 

EXISTING CLIENT FORMS

Clients may be asked to complete progress reports or other forms during therapy.  Progress report forms are available below.  Other forms will be provided via secure portal, if applicable. 


Details will be provided about which form(s) to complete and how often.  Some of these will be submitted for review during our therapy sessions, and some are kept only for your personal use.


Click here to submit completed forms when requested. Submission is secure, encrypted, and HIPAA compliant. A Google account is required.  

PROGRESS REPORT FORMS

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Click here to access the Daily Mood Journal (by Dr. David Burns).

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ERP Self Monitoring Form (docx)Download
Measure for Social Anxiety, Adult, SC (pdf)Download
PHQ-9 and GAD-7 Form_a (pdf)Download
Pre and post exposure questions (docx)Download
YBOCS-II-SR (pdf)Download

About MedTunnel Secure Portal

MedTunnel is a secure portal for messages and documents. 

My email is HIPPA compliant, which is the highest level of security you can get online (Sadly, nothing online is 100% secure). However, most individuals do not have HIPAA compliant emails. If they did, then both ends would be secure, and there would be greatly reduced possibility of anyone intercepting and reading that data. However, if it is not secure on both ends (your email, and mine) than it is not secure at all. So, to provide a secure means of getting in touch with me, I use MedTunnel. You do not have to create a MedTunnel account, but you can if you plan to use it to communicate with me about significant issues, or send me documents, instead of using email.   

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