Registration Forms:

FOR CONVENIENT ONLINE BOOKING, CLICK ON THE FOLLOWING LINK:  https://bethckincaid.clientsecure.me/client_portal
OR
PLEASE COMPLETE AND SIGN FORM NUMBERS 1,2, 3 AND 4 AND BRING THEM WITH YOU TO YOUR APPOINTMENT. THE OTHER FORMS ARE FOR YOUR INFORMATION AND TO DOWNLOAD AS YOU WISH.
THANK YOU !

1) ​CLIENT REGISTRATION FORM

​2) HIPAA NOTICE OF PRIVACY SIGNATURE SHEET
- HIPAA NC NOTICE OF PRIVACY FORM

3) FINANCIAL POLICY SIGNATURE SHEET
- FINANCIAL POLICY CLIENT COPY

​4) BETH KINCAID'S PROFESSIONAL DISCLOSURE STATEMENT

5)  BETH KINCAID'S OFFICE HOURS AND EMERGENCY CONTACT INFORMATION

6)  CLIENT RIGHTS AND RESPONSIBILITIES

gtag('set', {'user_id': 'USER_ID'}); // Set the user ID using signed-in user_id. ga('set', 'userId', 'USER_ID'); // Set the user ID using signed-in user_id.