NH, New Hampshire psychologist, psychology, behavioral health, behavioral medicine, mind-body connections, rehabilitation exercise fitness, Dr Deborah Warner, Littleton Grafton Coos, North Country, elder, problems, adjustment, medical, insurance, Bright Day Psychology

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You may preview, print and complete some of the forms used in this work right here.

AUTHORIZATION TO RELEASE PROTECTED HEALTH INFORMATION.pdfYou may print this form to authorize Dr Warner to speak with someone about your care. You would then sign it and fax it to her at the fax number on the form.
Notice of Privacy Practices 2-2.pdfFederal HIPAA regulations require this form concerning your privacy of medical information. This form describes how we address these privacy concerns and your rights.

If you need a request fulfilled, please call Dr Warner to discuss the situation and to confirm receipt of the document.  There is often more to the picture for your needs than just filling out a form, especially for the release of information, which should be done after a discussion with the doctor.

More information about Dr Warner's other services.
Contact us  603-444-1512
Email:    DrWarner@BrightDay.us
Bright Day Psychology PLLC     PO 973 Littleton, NH  03561

2008 Dr Deborah Warner.  All materials and content copyrighted.  All rights reserved.  Contact Dr Warner for permission if  you wish to use any materials on this site in any way.