Releases, Notices & Documents

Please click LIMITS TO CONFIDENTIALITY (New Client) button, above to sign and submit authorizations required to conduct evaluation. (Includes Telemedicine Release)
Click here to view or download a copy of our Limits to Confidentiality Release for New Clients
File Size: 42 kb
File Type: pdf
Download File
Please click BWC Initial Therapy Client Releases button, above to sign and submit authorizations required to begin treatment of workers injured in Ohio. (Includes Telemedicine Release)
BWC Initial Therapy Releases
File Size: 187 kb
File Type: pdf
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Please click LIMITS TO CONFIDENTIALITY (Existing Client) button, above to sign and submit authorizations required to conduct evaluation. (Includes Telemedicine Release)
Click here to view or download a copy of our Limits to Confidentiality Release for Existing Clients
File Size: 62 kb
File Type: pdf
Download File
Please click Telemedicine Release button, above to sign and submit authorization. 
​[REQUIRED to receive telemedicince services: phone and/or virtual (video+audio)]
Click here to view or download a copy of our Electronic Service Delivery (Telemedicine) Release
File Size: 204 kb
File Type: pdf
Download File
Weinstein & Associates' Privacy Practices
File Size: 44 kb
File Type: pdf
Download File
Weinstein & Associates' Informed Consent
File Size: 124 kb
File Type: pdf
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