Catherine Kaplan, Ph.D., LLC 
Licensed Clinical Psychologist
267-647-9494
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    • Depression/Bipolar
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    • Eating Disorders
    • Adjusting to life difficulties
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    • Adolescent Issues
  • Dr. Kaplan
  • Office Info
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  • Forms
    • Forms to bring to 1st Session
    • Forms to Read Prior to 1st Session
    • Additional Forms
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  • Psy Blog

Forms to print prior to your first appointment:

Prior to your first visit, please print the following 5 forms and complete.  Please either mail the forms in advance or bring these forms to your fist appointment.  This will expedite the evaluation process and enable us to make full use of your session time.  Additionally, please review the two forms in the following section ("Forms you do NOT need to print, but should review").  Your signature on the Consent to Treatment and Receipt of Privacy Practices forms indicates you have received and reviewed the Privacy Practices and Office Policy forms.  Thank you.

First Visit Forms (click below to download):  
REGISTRATION FORM
CONSENT TO TREATMENT

PATIENT MEDICAL HISTORY FORM
RECEIPT OF NOTICE OF PRIVACY PRACTICES

ELECTRONIC COMMUNICATION FORMS


Forms you do NOT need to print, but should review prior to your first appointment:

Please click the forms below to review the HIPAA regulations & Office Policies.  You do not need to print these forms.  Among the above-referenced forms is a form for you to print and sign acknowledging you have received and reviewed the HIPAA forms.  Additionally, there is important information within the Office Policies, so please read this form carefully.  Thank you.

PRIVACY PRACTICES 
OFFICE POLICIES

Other forms you may need:

RELEASE OF INFORMATION FORM
REFERRAL FORM (For professional offices making a referral)

COLLATERAL CONSENT FORM



For Existing Clients:  Schedule an appointment using the secure client portal by clicking here.  If you cannot access the portal, please call 267-647-9494 or email at catherine@kaplanphd.com
Psychology Blog
Conveniently located near:
Ambler                           Montgomeryville
Blue Bell                        North Wales
Chalfont                         Plymouth Meeting
Collegeville                    Skippack
Colmar                           Springhouse
East Norriton                  Souderton
Harleysville                     Upper Gwynedd
Hatfield                           Worcester
Kulpsville

Helpful Resources:
Check with Dr. Kaplan directly for meditations and other resources.

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