Bainbridge Institute for Integrative Psychology
 

Our People
Our Approaches
Bainbridge Island, Washington
New Client Registration & Forms - Sandra


New clients of Sandra Paulsen, PhD may register ahead of time by following these procedures. 

1. Talk with Sandra first about coming into her practice for treatment, by calling (206) 855-1133.  Think about your goals and questions, and we'll speak for a few minutes to decide together whether to schedule. You may wish to discuss: 
  • Your goals and questions
  • Fees and scheduling
 

2. If we decide to proceed with scheduling a visit,  print off the registration form below, complete it and bring it to your initial visit.  Be sure to review:
  • The office policies regarding emergency procedures
  • Charging for missed visits or late cancellations
  • Legal limits on confidentialty 
 
Copyright 2009 Bainbridge Institute for Integrative Psychology: Specializing in EMDR.  
All rights reserved. 

3. By federal HIPAA law, you are entitled to basic information about your health care rights.  Please review the HIPAA forms below, and you may wish to print and keep them.  Sign off on the registration form that you have received them. 
  • HIPAA Washington Notice
  • HIPAA Psychotherapy Services Agreement 
4. If you wish for me to communicate with someone else about you, you will need to sign a consent to release information.  Click on the file below to print off the form. You can bring it in.