Hands filling out papers

Vera French Forms/Policies

Forms

  • Consent to Treat
  • Release of Information
  • Pine Meadows Referral
  • SCL Referral
  • The Carol Center Referral

Policies/Procedures

HIPAA Privacy Policy

Vera French has established policies and procedures for protection of your health information.

This Notice of Privacy Practices describes how we may use and disclose your protected health information to carry out treatment, payment or health care operations and for other purposes that are permitted by law. This Notice also describes your rights regarding health information we maintain about you and a brief description of how you may exercise these rights. This Notice further states the obligations we have to protect your health information. PLEASE REVIEW CAREFULLY.

Client Rights and Responsibilities

At Vera French Community Mental Health Center, we strive to provide high-quality services that recognize the experiences, values, and needs of the individuals we serve. We believe that a partnership between providers and clients is the best way to achieve optimal benefits. Understanding your rights and responsibilities as a client of Vera French is central to this partnership.

Site designed by Twin State Technical Services.