ROSS GINKEL, PSY.D., PLLC

Healing Through Connection

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    contact@drrossginkel.com

    208-366-1657

    Intake Forms

    Complete these forms and bring to first session:

    Informed Consent, HIPAA- Adult

    Client Information- Adult

    ​

    Informed Consent, HIPAA- Minor Adolescent 

    Client Information- Minor Adolescent

    Other Forms

    Release of Information- Adult

    Release of Information- Minor

    Ph: 208-366-1657  Fax: 208-366-1602

    750 W. Ustick Rd., Ste. 120
    Meridian, ID 83646

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    ROSS GINKEL, PSY.D., PLLC