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Below are some documents for your information and use, as well as Dr. Frial's Practice Brochure. Please download them as needed.
If you have any questions about the use and/or completion of the document, please contact Dr. Frial at 312-339-6208 or via email at noyfrial@yahoo.com
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Authorization for Release and Exchange Information
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Use this form to authorize Dr. Norwil C. Frial & Associates, Ltd. to obtain and/or release information about you and/or your treatment.
To view and print the Authorization for Release and/or Exchange Information Form, CLICK HERE.
Or to view and print using Microsoft Word, click on the icon below.
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Client Rights and Responsibilities
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This is a copy of your Rights and Responsibilities as a client of Dr. Norwil C. Frial, NCC, LCPC, CADC.
To view and print the Clients Rights and Responsibilities Form, CLICK HERE.
Or to view and print using Microsoft Word, click on the icon below.
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Use this document when contacting your insurance carrier to determine your benefits and eligibility to receive counseling services with Dr. Norwil C Frial, NCC, LCPC, CADC.
You should have this document in front of you while speaking with your insurance representative. Ask as many questions as possible to complete the document.
To view and print the Insurance Verification Form, CLICK HERE.
Or to view and print using Microsoft Word, click on the icon below.
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Notice of Privacy Practices
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This is a copy of Dr. Frial's Notice to Privacy Practices. Please read this for your information.
To view and print the Notice to Privacy Practices form, CLICK HERE.
Or to view and print using Microsoft Word, click on the icon below.
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Download a copy of Dr. Frial's Practice Brochure here. The brochure has general information about Dr. Frial and Counseling, Supervision and Training Services.
Feel free to make copies and distribute as needed.
To view and print my Practice Brochure using Microsoft Publisher, click on the icon below.
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