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Quick Access to Important Documents and Forms


 

To help make your experience as smooth as possible, we've provided easy access to our most frequently used forms and resources. Please complete any required forms prior to your appointment or service.

​New Client Forms

Standard Intake Form

Complete this form to begin services with ReeVision Network LLC.

 Access Form:
https://form.jotform.com/Shpatterson/standard-intake-form

Child & Adolescent Intake Form

For children and adolescents seeking services.

Access Form:
https://form.jotform.com/Shpatterson/standard-intake-form

Consent Forms

Informed Consent Service Agreement

Review and complete prior to beginning services.

 Access Form:
https://form.jotform.com/Shpatterson/informed-consent-service-agreement

Informed Consent for Minors

Required for clients under the age of 18.

Access Form:
https://form.jotform.com/260485858747071

Telehealth Consent Form

Required for virtual therapy sessions.

 Access Form:
https://form.jotform.com/232209217452147

Privacy & Confidentiality

HIPAA Notice & Privacy Practices

Learn how your health information is protected.

 Access Form:
https://form.jotform.com/Shpatterson/hipaa-notice-of-privacy-practices

Referral Forms

Outpatient Therapy Referral Form

For providers, agencies, schools, and community partners referring clients for services.

 Access Form:
https://form.jotform.com/Shpatterson/referral-for-outpatient-therapy

Careers & Internship Opportunities

Internship Application

Interested in joining our team? Apply for internship opportunities here.

Access Form:
https://form.jotform.com/team/261106214945048/reevision-intern-application

Training & Certifications

First Aid & CPR Inquiry Form

Interested in First Aid and CPR training? Submit an inquiry to learn more.

Access Form:
https://form.jotform.com/Sheree_Patterson/first-aid--cpr-inquiry-form

Need Assistance?

If you have questions about any form or need assistance completing documentation, our team is happy to help.

 6325 N Center Drive, Suite 230, Norfolk, VA 23502
757-937-2667
info@reevisionnetworkllc.com

Ready to Begin?

Complete your forms today and take the next step toward healing, growth, and wellness. 

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REEVISION NETWORK LLC
 

6325 N Center Drive Suite 230
Norfolk, VA 23502
Phone :757-937-2667

Email: info@reevisionnetworkllc.com

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