{"id":411,"date":"2023-04-20T17:09:40","date_gmt":"2023-04-20T17:09:40","guid":{"rendered":"https:\/\/kamiakindle.com\/rediscover\/?page_id=411"},"modified":"2024-09-21T17:46:16","modified_gmt":"2024-09-21T17:46:16","slug":"client-forms","status":"publish","type":"page","link":"https:\/\/kamiakindle.com\/rediscover\/resources\/client-forms\/","title":{"rendered":"Client Forms"},"content":{"rendered":"<section class=\"l-section wpb_row us_custom_2157def8 has_text_color height_medium\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_2 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_middle type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"w-image us_custom_d0fdd980 us_animate_this style_circle align_center\"><div class=\"w-image-h\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"800\" src=\"https:\/\/kamiakindle.com\/rediscover\/wp-content\/uploads\/2024\/09\/redi-forms-1.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/kamiakindle.com\/rediscover\/wp-content\/uploads\/2024\/09\/redi-forms-1.jpg 800w, https:\/\/kamiakindle.com\/rediscover\/wp-content\/uploads\/2024\/09\/redi-forms-1-300x300.jpg 300w, https:\/\/kamiakindle.com\/rediscover\/wp-content\/uploads\/2024\/09\/redi-forms-1-150x150.jpg 150w, https:\/\/kamiakindle.com\/rediscover\/wp-content\/uploads\/2024\/09\/redi-forms-1-400x400.jpg 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/div><\/div><\/div><\/div><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><h1>Client Forms<\/h1>\n<\/div><\/div><div class=\"w-separator size_medium\"><\/div><div class=\"w-image us_custom_7e20fa79 us_animate_this align_left\"><div class=\"w-image-h\"><img loading=\"lazy\" decoding=\"async\" width=\"214\" height=\"60\" src=\"https:\/\/kamiakindle.com\/rediscover\/wp-content\/uploads\/2024\/09\/redi-dots-2.png\" class=\"attachment-large size-large\" alt=\"\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_medium\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><h4><span style=\"color: #d95e13;\">All new clients must complete the following forms.<\/span><\/h4>\n<\/div><\/div><div class=\"w-separator size_medium\"><\/div><div class=\"g-cols wpb_row via_grid cols_2 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"w-btn-wrapper align_none\"><a class=\"w-btn us-btn-style_1\" target=\"_blank\" href=\"https:\/\/kamiakindle.com\/rediscover\/wp-content\/uploads\/2023\/04\/Intake-Packet_fillable_final-2020.pdf\" rel=\"noopener\"><span class=\"w-btn-label\">Admission Form<\/span><\/a><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>Click <a href=\"https:\/\/kamiakindle.com\/rediscover\/wp-content\/uploads\/2023\/04\/RD-List-of-Risks-for-Telehealth-and-Email-Communication_05-2020.pdf\" target=\"_blank\" rel=\"noopener\">here<\/a> to view the ReDiscover&#8217;s List of Risks for Telehealth &amp; Email Communication.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"w-btn-wrapper align_none\"><a class=\"w-btn us-btn-style_1\" target=\"_blank\" href=\"https:\/\/kamiakindle.com\/rediscover\/wp-content\/uploads\/2023\/04\/CL3020-rev-12-18-Auth-for-Disclosure-of-Health-Info-FILLABLE.pdf\" rel=\"noopener\"><span class=\"w-btn-label\">Authorization for Disclosure<\/span><\/a><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>Click <a href=\"https:\/\/kamiakindle.com\/rediscover\/wp-content\/uploads\/2023\/04\/CL3020-rev-12-18-Auth-for-Disclosure-of-Health-Info-FILLABLE.pdf\" target=\"_blank\" rel=\"noopener\">here<\/a> to view the User Guide to complete Authorization for Disclosure form.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_medium\"><div class=\"l-section-overlay\" style=\"background:#f2f2f2\"><\/div><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><h4><span style=\"color: #d95e13;\">Medicaid, Medicare and non-insured clients must print and sign the Financial Form.<br \/>\n<\/span><\/h4>\n<\/div><\/div><div class=\"w-separator size_medium\"><\/div><div class=\"g-cols wpb_row via_grid cols_2 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"w-btn-wrapper align_none\"><a class=\"w-btn us-btn-style_1\" target=\"_blank\" href=\"https:\/\/kamiakindle.com\/rediscover\/wp-content\/uploads\/2023\/04\/FinancialCounseling.pdf\" rel=\"noopener\"><span class=\"w-btn-label\">Financial Form<\/span><\/a><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>Financial staff can assist you with completion.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"w-btn-wrapper align_none\"><a class=\"w-btn us-btn-style_1\" title=\"Requesting Medical Records\" target=\"_blank\" href=\"https:\/\/kamiakindle.com\/rediscover\/requesting-medical-records\/\" rel=\"noopener\"><span class=\"w-btn-label\">Medical Records Request<\/span><\/a><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>Allow up to 30-days for processing.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"Client Forms All new clients must complete the following forms. Admission FormClick here to view the ReDiscover&#8217;s List of Risks for Telehealth &amp; Email Communication. Authorization for DisclosureClick here to view the User Guide to complete Authorization for Disclosure form. Medicaid, Medicare and non-insured clients must print and sign the Financial Form. Financial FormFinancial staff...","protected":false},"author":2,"featured_media":0,"parent":20,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-411","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/kamiakindle.com\/rediscover\/wp-json\/wp\/v2\/pages\/411","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kamiakindle.com\/rediscover\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kamiakindle.com\/rediscover\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kamiakindle.com\/rediscover\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/kamiakindle.com\/rediscover\/wp-json\/wp\/v2\/comments?post=411"}],"version-history":[{"count":10,"href":"https:\/\/kamiakindle.com\/rediscover\/wp-json\/wp\/v2\/pages\/411\/revisions"}],"predecessor-version":[{"id":1526,"href":"https:\/\/kamiakindle.com\/rediscover\/wp-json\/wp\/v2\/pages\/411\/revisions\/1526"}],"up":[{"embeddable":true,"href":"https:\/\/kamiakindle.com\/rediscover\/wp-json\/wp\/v2\/pages\/20"}],"wp:attachment":[{"href":"https:\/\/kamiakindle.com\/rediscover\/wp-json\/wp\/v2\/media?parent=411"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}