Notice of Privacy Practices Receipt and Acknowledgement of Notice Form

Please click here to read the Notice of Privacy Practices document before submitting the form.

Please read terms of use before submitting the form.

Client Information Form

Please read terms of use before submitting the form.

Telehealth Consent Form

Please click here to read the Telehealth Guide before submitting the form.

Please read terms of use before submitting the form.

Good Faith Estimate Notice

Please click here to read the Good Faith Estimate Notice

Patient Opt-Out Information

Please click here to read the North Carolina Health Information Exchange Authority Patient Opt-Out Information

SimplePractice AI Note Taker Consent Form

Please click here to read the SimplePractice AI Note Taker document before submitting the form.

Please read terms of use before submitting the form.

Contact Tanza

E: tanza@tanzahaskinscounselingservices.com

P: 919.839.0042

F: 919.301.8818

Six Forks Office Center

8410 Six Forks Road, Suite 102

Raleigh, NC 27615

Notice of Privacy Practices Receipt and Acknowledgement of Notice Form

Client Information Form

Telehealth Consent Form

Good Faith Estimate Notice

Patient Opt-Out Information

SimplePractice AI Note Taker Consent Form

Contact Tanza

Questions before getting started?

FAQ’s

Hours

Notice of Privacy Practices Receipt and Acknowledgement of Notice Form

Client Information Form

Telehealth Consent Form

Good Faith Estimate Notice

Patient Opt-Out Information

SimplePractice AI Note Taker Consent Form

Contact Tanza

Questions before getting started?

FAQ’s

1. What can I expect during my first therapy session?

2. How long is a therapy session?

3. How frequently will I meet for therapy?

4. What is telehealth?

5. How is my privacy protected?

6. How much does therapy cost?

7. How do I pay for therapy?

8. What is the cancellation policy?

9. How do I communicate with Tanza?

10. After-hours coverage?

Hours