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Genuine Life Wellness

Guiding people to a greater sense of whole-person wellbeing by providing compassionate, authentic, nonjudgmental guidance in a safe, collaborative environment.

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Forms

In order to use our time most effectively, I ask that you read the following forms prior to our first session. You are welcome to contact me with any questions regarding these forms.

  • Patient Agreement, Authorization, & Consent for Treatment
  • HIPAA Notice of Privacy Practices
  • Technology, Electronic Communication, and Social Media Policy
  • Scheduling & Attendance Policy
  • Billing & Insurance Policy
  • Basic Info and Acknowledgement of Policies
  • Anxiety & Depression Assessment
  • Authorization to Release Information

Video Sessions:

Video sessions may be offered to established patients if appropriate,

  • Telehealth Informed Consent Form

Jennifer S. Hartman, Ph.D. is a Licensed Psychologist with the Texas State Board of Examiners of Psychologists TX License #32123. For information on how to verify a license, please click here for the Texas State Board of Examiners of Psychologists (TSBEP) website. For information on how to file a complaint, please click here for a PDF flyer or please click here to be directed to the complaint page on the TSBEP website.

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Previous Posts

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