New Vision offers our client forms online so they can be completed in the convenience of your home or office.
Client rights, approach to treatment, education and experience, fee information and payment policy, confidentiality, state laws, client acknowledgement
- Download the necessary form, complete on your computer or print and fill in the required information.
- Please scan and email back to Kristi before your appointment.
Kristi’s Forms
- New Vision Intake and Client Forms (PDF)
- New Vision Intake and Client Forms (Word)
- Kristi Dechairo Ahern Disclosure Statement (PDF)
- Kristi Dechairo Ahern Disclosure Statement (Word)
- Concent for Telehealth Consultation (PDF)
- Concent for Telehealth Consultation (Word)
- Notification of Federal Protections against Surprise Billing (PDF)
- Notofication of Federal Protections against Surprise Billing (Word)