Rachel Robbins, Psy.D.

Licensed Clinical Psychologist

CA License Number Psy22646

 

© 2015 by Rachel Robbins, Psy.D.

    Forms and Documentation

    I have a client portal where you can securely complete the documentation I use in my practice. You can access that portal and complete the documentation by going to the Simple Practice page and creating your account. These forms are listed here so they are always available and so that you can review them and know what to expect. 

     

    Client Portal- Click here to access my Simple Practice client portal.

     

    For reference, here are copies of the forms I  regularly use to support the work we might be doing together. These forms do not need to be completed in this format and exist here for your ease in access and review.

    Client Information- This page is about your personal demographic information. It is a reflection of you, and you may feel free to answer in a way that best reflects you.


    Acknowledgements and Signature page- Please review the HIPPA documentation and my informed consent policy, then sign and bring this page to our first session. Please let me know if you have any questions about any of this information. I am happy to discuss any aspect of this process with you.

    Client History- This is a description of your past and current experience.

     

    HIPAA Information- I am required to provide you a copy of this description of your privacy rights. This form describes the basic rights  for privacy created and dictated by HIPAA.


    Informed Consent- Please read this document before completing the signature page. It describes information about confidentiality and my therapy policies. If you have any questions about these policies you are welcome to ask. 

     

    Social Networking and Contact Policy- This document describes my policies on how we can communicate around and in between sessions, and on how I interact with social networking sites.

     

    Release of Information- This form is used in the event that you would like me to speak to another person about your history or treatment. In the case that you would like this to happen, we will sign this form together and review exactly what you would like communicated. Any other aspects of your treatment or life will remain confidential.