BETH C. KINCAID, MED, NCC, LPC, PLLC
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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


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  • Home
  • About Beth
  • Beth's Specialties and Approaches
  • Client Portal Link
  • Registration Forms
  • Appointments and Fees
  • Words To Grow By
  • Telehealth Visits