Adolescence & Adult Case History
Sleep Habits Intake Form
Please fill out sleep habits form in how likely it is you are to fall asleep in these situations.
Answer USUALLY if something occurs 5 or more times.
Answer SOMETIMES if it occurs 2-4 times in a week.
Answer RARELY if something occurs never or 1 time during a week.
HIPPA Private Practices Form
The Health Insurance Portability and Accountability Act (HIPAA) provides safeguards to protect your privacy. HIPAA provides certain rights and protections to you as the patient on who may see or be notified of your Protected Health Information (PHI).
