Adam Vellturo Counseling Services
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Adam J. Vellturo Counseling Services​
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Client Forms
Below you will find PDF files of forms that need to be
reviewed and filled out and brought to our first meeting.
The Client Service Agreement  and The Arizona Notice of              Private Practice need to be reviewed in their entirety on your       device.  The Client Information and The Consent to Treat need     to be printed,  filled out, signed  and brought to our first meeting   along with your Medical Insurance Card. 
If we will be conducting our sessions by video/phone chat then the Informed Consent Telehealth Services   form needs to be printed and filled out  and signed as part of the intial session.  
This form along with the other forms and insurance card will need to be scanned and emailed to avcounseling1@gmail.com
Client Service Agreement
File Size: 108 kb
File Type: pdf
Download File

Arizona Notice of Private Practice
File Size: 83 kb
File Type: pdf
Download File

Client Information
File Size: 73 kb
File Type: pdf
Download File

Consent to Treat
File Size: 61 kb
File Type: pdf
Download File

Informed Consent for Telehealth Services
File Size: 51 kb
File Type: pdf
Download File

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  • Home
  • Services
  • About
  • Contact
  • Client Forms
  • FAQ