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    • Home
    • About Me
    • Services
    • Rates and Insurance
    • Privacy
    • Crisis Information
    • Contact
    • Forms
    • etc
    • GOTTMAN
  • Home
  • About Me
  • Services
  • Rates and Insurance
  • Privacy
  • Crisis Information
  • Contact
  • Forms
  • etc
  • GOTTMAN

Patricia Broussard, MS, LMFT
Licensed Marriage & Family Therapist

Patricia Broussard, MS, LMFT Licensed Marriage & Family TherapistPatricia Broussard, MS, LMFT Licensed Marriage & Family TherapistPatricia Broussard, MS, LMFT Licensed Marriage & Family Therapist

Finding your way

Finding your wayFinding your wayFinding your way

Forms


Please access the Simple Practice portal to complete and submit your forms:


  • Mental Wellness, PLLC uses Simple Practice as our Electronic Records System as of August 2022. After your therapist has scheduled you for your first appointment the steps below will help you in creating your client profile within Simple Practice:

  1. Your therapist will send you a link directly from Simple Practice, this link is only valid for 48hours, after that, you will need to contact your therapist  to have a new link sent.
  2. To set up your profile in Simple Practice you will need your email and date of birth
  3. Once you are logged in you will be asked to complete your profile and place a credit card on file.
  4. You will then need to click the tab for Docs and Forms and complete the paperwork your therapist has assigned, this will include their Consent forms, a Good Faith Estimate, Client Information Forms, and  Notice of Privacy Practices.
  5. Please complete all your paperwork and then send your therapist a message within the portal.

If you have trouble setting up your portal please don't hesitate to reach out for help.

MW-2023-updated-Consent-Policies-and-Agreement- (docx)Download
MW-HIPAA-6 (docx)Download
MW New Client Intake BPS (docx)Download

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