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Get Started – Intake Paperwork

Thank you for your interest in Vision Forward’s services.  Our staff will direct you to which of the following paperwork is required for you to get started with training.

Intake Form

HIPAA – Notice of Privacy Practices (large print)

HIPAA Acknowledgment Form (signature required)

Insurance & Payment Information (clients age 65 and older)

Insurance & Payment Information (Non-Medicare)

Assignment of Insurance (signature required)

Minor Client Addendum

Authorization for Medical Record Disclosure