HIPAA FORM

IMPORTANT:

IT IS NECESSARY FOR YOU TO COMPLETE & UPLOAD THE DOCUMENT 24 HOURS BEFORE YOUR SESSION.

IF YOU ARE NOT ABLE TO COMPLETE & UPLOAD THE DOCUMENT ON TIME,

PLEASE CONTACT US TO RE-SCHEDULE AT 414-405-1682

FOLLOW THESE EASY STEPS TO COMPLETE YOUR FORM:

1- DOWNLOAD THE DOCUMENT BELOW TO YOUR COMPUTER BY CLICKING ON THE ARROW ON THE UPPER RIGHT.

2- SAVE TO YOUR DESKTOP.

3- MINIMIZE THE WEB-BROWSER AND FIND YOUR DOWNLOADED DOCUMENT ON YOUR DESKTOP.

4- RE-NAME YOUR DOCUMENT (e.g., SMITH JASON).

5- FILL OUT YOUR DOCUMENT AND SAVE.

6- GO BACK TO MIRACLE COUNSELING'S WEBSITE. 

7- CLICK ON THE "UPLOAD YOUR FILE HERE" BUTTON.

8- FIND YOUR FILE ON YOUR DESKTOP --> UPLOAD --> CLICK ON "SUBMIT".

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