Family Bridges Therapeutic
Associates LLC –
Owners/Employees
Finances
–
Projected
Income
Statement 2004
Projected
Income Statement 2005
Individual Expenses
2004
Individual
Expenses 2005-2009
checking transaction report
Time sheet notes!!
Projected
Income Statement 2005
Malpractice Insurance Declarations Page (PC users right click and select "save target as"
Projected
Income Statement 2005
Forms
–
Intake/Consent
Packet with Dr.
Ritz
Intake/Consent
Packet without Dr.
Ritz
South
Carolina Notice Form
Release Authorization Form
Progress Summary
Supervised
Visitation
Guidelines
BC/BS Outpatient Treatment Form - (PC users right click link and choose "save target as" to use this link
Supervised
Visitation Observation Forms - you must right click and use
"save target as" and download to your computer to use this link
Therapy Note Melissa Note
Mary Note Angie Note
Treatment Plan
Fax Cover
Stationary
Angie’s Business
Card
Contractor
Contract
IRS
W-9
Time
Sheet
Attestation and Mileage Report
Referral Form
Incident Report
New Client Letter
Termination
Form