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Detrick Snyder, LLC
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Patients
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Students and Educators
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Contact
Detrick Snyder, LLC
Home
Patients
Patients
Forms
Resources
Students and Educators
About
Contact
Home
Folder: Patients
Back
Patients
Forms
Resources
Students and Educators
About
Contact

Patient Forms

To become a patient or client, please complete the following:

Please complete the intake form linked here. Please sign, digitally or in handwriting, each individual form:

  • Client Agreement and Consent to Treatment

  • HIPAA Notice of Privacy Practices

  • Patient Written Acknowledgement Confirming Receipt Of Privacy Notice

  • Consent for Telehealth Consultation

© Detrick Snyder, LLC

720 648 6701
detricksnyder@gmail.com

Denver, Colorado

Copyright

All rights reserved. No part of this website may be reproduced, distributed, or transmitted in any form or by any means without the prior written permission of Detrick Snyder.

Disclaimer

The content contained in this website is for general informational purposes only, and does not constitute the practice of any professional healthcare service, including the giving of medical advice and nutritional counseling. No provider-patient relationship is formed. The use of this information and linked materials is at the user's own risk. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should abide by the advice of their healthcare provider, and should not disregard or delay in obtaining medical advice for any medical condition they may have.