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Psychotherapy Notes Authorization Form
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This form is the patient's authorization form to release psychotherapy notes to HealthLink and to the patient's claims administrator for the purpose of determining benefits available under the patient's health plan. |
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Psychotherapy Notes Authorization Form (21k) |
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If you do not already have this
program, click to download the Adobe
Acrobat Reader software which will allow you to view
the various documents throughout the NCPPO web site.
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