{"id":43,"date":"2023-10-20T12:48:03","date_gmt":"2023-10-20T12:48:03","guid":{"rendered":"https:\/\/web03net.com\/gobeyondtalktherapy\/wp\/?page_id=43"},"modified":"2024-02-15T18:46:11","modified_gmt":"2024-02-15T18:46:11","slug":"forms","status":"publish","type":"page","link":"https:\/\/kpltechsolution.us\/oldgobeyondtalktherapy\/forms\/","title":{"rendered":"Forms"},"content":{"rendered":"<p>Before your first appointment with Phil DeLuca, please fill out the following forms:<\/p>\n<div class=\"wp-block-file\"><a href=\"https:\/\/kpltechsolution.us\/oldgobeyondtalktherapy\/wp-content\/uploads\/2021\/09\/DELUCA-COUNSELING-CREDIT-CARD-INFORMATION.docx\">Credit Card Information Form<\/a><a class=\"wp-block-file__button\" href=\"https:\/\/kpltechsolution.us\/oldgobeyondtalktherapy\/wp-content\/uploads\/2021\/09\/DELUCA-COUNSELING-CREDIT-CARD-INFORMATION.docx\" download=\"\">Download<\/a><\/div>\n<div class=\"wp-block-file\"><a href=\"https:\/\/kpltechsolution.us\/oldgobeyondtalktherapy\/wp-content\/uploads\/2021\/09\/NOTICE-OF-PRIVACY-PRACTICES-AND-RECEIPT-OF-NOTICE-Copy-Copy-Copy.docx\">Notice of Privacy Practices and Receipt of Notice Form<\/a><a class=\"wp-block-file__button\" href=\"https:\/\/kpltechsolution.us\/oldgobeyondtalktherapy\/wp-content\/uploads\/2021\/09\/NOTICE-OF-PRIVACY-PRACTICES-AND-RECEIPT-OF-NOTICE-Copy-Copy-Copy.docx\" download=\"\">Download<\/a><\/div>\n<div class=\"wp-block-file\"><a href=\"https:\/\/kpltechsolution.us\/oldgobeyondtalktherapy\/wp-content\/uploads\/2021\/09\/INFORMED-CONSENT-FORM.docx\">Informed Consent Form<\/a><a class=\"wp-block-file__button\" href=\"https:\/\/kpltechsolution.us\/oldgobeyondtalktherapy\/wp-content\/uploads\/2021\/09\/INFORMED-CONSENT-FORM.docx\" download=\"\">Download<\/a><\/div>\n<div class=\"wp-block-file\"><a href=\"https:\/\/kpltechsolution.us\/oldgobeyondtalktherapy\/wp-content\/uploads\/2021\/09\/MEDICAL-AND-HEALTH-HISTORY.docx\">Medical and Health History Form<\/a><a class=\"wp-block-file__button\" href=\"https:\/\/kpltechsolution.us\/oldgobeyondtalktherapy\/wp-content\/uploads\/2021\/09\/MEDICAL-AND-HEALTH-HISTORY.docx\" download=\"\">Download<\/a><\/div>\n<div class=\"wp-block-file\"><a href=\"https:\/\/kpltechsolution.us\/oldgobeyondtalktherapy\/wp-content\/uploads\/2021\/09\/CLIENT-INFORMATION.docx\">Client Information Form<\/a><a class=\"wp-block-file__button\" href=\"https:\/\/kpltechsolution.us\/oldgobeyondtalktherapy\/wp-content\/uploads\/2021\/09\/CLIENT-INFORMATION.docx\" download=\"\">Download<\/a><\/div>\n<div class=\"wp-block-file\"><a href=\"https:\/\/kpltechsolution.us\/oldgobeyondtalktherapy\/wp-content\/uploads\/2021\/09\/PROFESSIONAL-DISCLOSURE-AND-INFORMATION-Copy-Copy-Copy-Copy.docx\">Professional Disclosure and Information Form<\/a><a class=\"wp-block-file__button\" href=\"https:\/\/kpltechsolution.us\/oldgobeyondtalktherapy\/wp-content\/uploads\/2021\/09\/PROFESSIONAL-DISCLOSURE-AND-INFORMATION-Copy-Copy-Copy-Copy.docx\" download=\"\">Download<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Before your first appointment with Phil DeLuca, please fill out the following forms: Credit Card Information FormDownload Notice of Privacy Practices and Receipt of Notice FormDownload Informed Consent FormDownload Medical and Health History FormDownload Client Information FormDownload Professional Disclosure and Information FormDownload<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-form.php","meta":{"two_page_speed":[],"footnotes":""},"class_list":["post-43","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Secure Online Forms At Deluca Counseling, Inc.<\/title>\n<meta name=\"description\" content=\"Optimize the registration process with DeLuca Counseling, Inc. &#039;s secure online forms. 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Remove paperwork, save time, and prioritize your mental health journey.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/kpltechsolution.us\/oldgobeyondtalktherapy\/forms\/\" \/>\n<meta property=\"og:site_name\" content=\"Go Beyond Talk Therapy\" \/>\n<meta property=\"article:modified_time\" content=\"2024-02-15T18:46:11+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/kpltechsolution.us\/oldgobeyondtalktherapy\/forms\/\",\"url\":\"https:\/\/kpltechsolution.us\/oldgobeyondtalktherapy\/forms\/\",\"name\":\"Secure Online Forms At Deluca Counseling, Inc.\",\"isPartOf\":{\"@id\":\"https:\/\/kpltechsolution.us\/oldgobeyondtalktherapy\/#website\"},\"datePublished\":\"2023-10-20T12:48:03+00:00\",\"dateModified\":\"2024-02-15T18:46:11+00:00\",\"description\":\"Optimize the registration process with DeLuca Counseling, Inc. 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