{"id":25,"date":"2024-01-15T14:29:06","date_gmt":"2024-01-15T20:29:06","guid":{"rendered":"https:\/\/acenteredplace.org\/?page_id=25"},"modified":"2024-09-09T09:46:11","modified_gmt":"2024-09-09T14:46:11","slug":"forms-v2","status":"publish","type":"page","link":"https:\/\/acenteredplace.org\/?page_id=25","title":{"rendered":"Forms"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><\/p>\n<p class=\"has-large-font-size wp-block-paragraph\"><strong data-fusion-font=\"true\" style=\"letter-spacing: 1px; font-size: 22px;\">Client Forms <\/strong><\/p>\n<\/p>\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-64d3df42-ed9d-40eb-b901-4923412194d7\" href=\"http:\/\/acenteredplace.org\/wp-content\/uploads\/2024\/01\/NEW-MO-2020-HIPAA-Comprehensive.doc\"><span style=\"font-size: 28px;\" data-fusion-font=\"true\"><span data-fusion-font=\"true\" style=\"letter-spacing: 1px; font-size: 22px;\">1. Cli<\/span><span data-fusion-font=\"true\" style=\"font-size: 22px;\">ent HIPAA Disclosure<\/span><\/span><\/a><a class=\"fusion-button-default fusion-button-default-size wp-block-file__button wp-element-button\" href=\"http:\/\/acenteredplace.org\/wp-content\/uploads\/2024\/01\/NEW-MO-2020-HIPAA-Comprehensive.doc\" download=\"\" aria-describedby=\"wp-block-file--media-64d3df42-ed9d-40eb-b901-4923412194d7\" data-fusion-font=\"true\" style=\"font-size: 22px;\">Download<\/a><\/div>\n<\/p>\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-4dc1c33b-5f4d-40dc-b7fd-431c9ffb5671\" style=\"font-size: 22px;\" href=\"http:\/\/acenteredplace.org\/wp-content\/uploads\/2024\/01\/Statement-of-Understanding-MO-NewEd-1.doc\" data-fusion-font=\"true\">2. Statement of Understanding<\/a><a class=\"fusion-button-default fusion-button-default-size wp-block-file__button wp-element-button\" href=\"http:\/\/acenteredplace.org\/wp-content\/uploads\/2024\/01\/Statement-of-Understanding-MO-NewEd-1.doc\" download=\"\" aria-describedby=\"wp-block-file--media-4dc1c33b-5f4d-40dc-b7fd-431c9ffb5671\" data-fusion-font=\"true\" style=\"font-size: 22px;\">Download<\/a><\/div>\n<\/p>\n<p class=\"wp-block-paragraph\" style=\"font-size: 22px;\" data-fusion-font=\"true\">3. Client Information Forms<\/p>\n<\/p>\n<div class=\"wp-block-file\">\n<p style=\"padding-left: 40px; line-height: 35px; font-size: 22px;\" data-fusion-font=\"true\">a. Individuals<\/p>\n<p><a id=\"wp-block-file--media-96b5779b-9149-4c67-aae1-8f4918172109\" style=\"font-size: 22px;\" href=\"https:\/\/acenteredplace.org\/wp-content\/uploads\/2024\/01\/2024-Client-Information-Individual-1.doc\" data-fusion-font=\"true\"><\/a><a class=\"fusion-button-default fusion-button-default-size wp-block-file__button wp-element-button\" style=\"line-height: 35px; font-size: 22px;\" href=\"https:\/\/acenteredplace.org\/wp-content\/uploads\/2024\/01\/2024-Client-Information-Individual-1.doc\" download=\"\" aria-describedby=\"wp-block-file--media-96b5779b-9149-4c67-aae1-8f4918172109\" data-fusion-font=\"true\">Download<\/a><\/p>\n<\/div>\n<\/p>\n<div class=\"wp-block-file\">\n<p style=\"padding-left: 40px; line-height: 31px; font-size: 22px;\" data-fusion-font=\"true\">b. Couples<\/p>\n<p><a id=\"wp-block-file--media-a06f0e72-383a-4ee9-87d9-56941d5e6151\" style=\"font-size: 22px;\" href=\"https:\/\/acenteredplace.org\/wp-content\/uploads\/2024\/01\/2024-Client-Information-Couples-1.doc\" data-fusion-font=\"true\"><\/a><a class=\"fusion-button-default fusion-button-default-size wp-block-file__button wp-element-button\" style=\"line-height: 31px; font-size: 22px;\" href=\"https:\/\/acenteredplace.org\/wp-content\/uploads\/2024\/01\/2024-Client-Information-Couples-1.doc\" download=\"\" aria-describedby=\"wp-block-file--media-a06f0e72-383a-4ee9-87d9-56941d5e6151\" data-fusion-font=\"true\">Download<\/a><\/p>\n<\/div>\n<\/p>\n<p class=\"has-large-font-size wp-block-paragraph\">\n<div class=\"wp-block-group\">\n<\/div>\n<p><!-- \/wp:post-content --><\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-padding-top:64px;--awb-padding-bottom:30px;--awb-padding-left:102px;--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:0%;--awb-margin-bottom-large:42px;--awb-spacing-left-large:0%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:0%;--awb-spacing-left-medium:0%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-image-element \" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"1024\" height=\"768\" title=\"Office with bookshelves\" src=\"http:\/\/acenteredplace.org\/wp-content\/uploads\/2024\/09\/Office-with-bookshelves-1024x768.jpeg\" alt class=\"img-responsive wp-image-5227\" srcset=\"https:\/\/acenteredplace.org\/wp-content\/uploads\/2024\/09\/Office-with-bookshelves-200x150.jpeg 200w, https:\/\/acenteredplace.org\/wp-content\/uploads\/2024\/09\/Office-with-bookshelves-400x300.jpeg 400w, https:\/\/acenteredplace.org\/wp-content\/uploads\/2024\/09\/Office-with-bookshelves-600x450.jpeg 600w, https:\/\/acenteredplace.org\/wp-content\/uploads\/2024\/09\/Office-with-bookshelves-800x600.jpeg 800w, https:\/\/acenteredplace.org\/wp-content\/uploads\/2024\/09\/Office-with-bookshelves-1200x900.jpeg 1200w, https:\/\/acenteredplace.org\/wp-content\/uploads\/2024\/09\/Office-with-bookshelves.jpeg 1584w\" sizes=\"(max-width: 640px) 100vw, 600px\" \/><\/span><\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":""},"class_list":["post-25","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/acenteredplace.org\/index.php?rest_route=\/wp\/v2\/pages\/25","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/acenteredplace.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/acenteredplace.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/acenteredplace.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/acenteredplace.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=25"}],"version-history":[{"count":1,"href":"https:\/\/acenteredplace.org\/index.php?rest_route=\/wp\/v2\/pages\/25\/revisions"}],"predecessor-version":[{"id":81,"href":"https:\/\/acenteredplace.org\/index.php?rest_route=\/wp\/v2\/pages\/25\/revisions\/81"}],"wp:attachment":[{"href":"https:\/\/acenteredplace.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=25"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}