forensic psychologist
forensic psychologist
Bruce Borkosky, Psy.D. PA forensic psychologist and expert witness
Bruce Borkosky, Psy.D. PA forensic psychologist and expert witness

SAMPLE FORM LETTER RESPONSES TO SUBPOENA

 

https://docsend.com/view/qt8unja 

 

Use this form letter when responding to a subpoena. The responses are grouped by type of response - from invalid subpoenas, to assertion of privilege, to objections, to improper requests, to compliance. 

INFORMED CONSENT FORM

 

https://docsend.com/view/ixbeac9 

 

Use this form when the legal system requests a copy of psychotherapy records. Review it with the patient to ensure that they have an adequate understanding of the risks and benefits of whatever choices they make.

ATTORNEY-PSYCHOLOGIST STATEMENT OF UNDERSTANDING

 

https://docsend.com/view/bi76rvn

 

Our standard contract when attorneys hire us as a forensic psychologist / expert witness.

FLORIDA HIPAA NOTICE OF PRIVACY PROTECTIONS (NOPP)

 

https://docsend.com/view/vkc4waq

 

Patients may download this document if they have questions about their privacy rights.

DISCLOSE RECORDS TO DR. BORKOSKY (from another provider)

 

https://docsend.com/view/5tij46f

 

Use this form to obtain (healthcare) records from collateral sources, and/or when someone wants to send me records from another provider.

DISCLOSE RECORDS FROM DR. BORKOSKY (to another provider)

 

https://docsend.com/view/7az2svm

 

Use this form if you want Dr. Borkosky to disclose records to a third party.

PATIENT INTAKE FORM 

 

https://docsend.com/view/f93cijp

 

Everything you always wanted to know about patients, but were afraid to ask!

Dr. Bruce Borkosky, Psy.D.. PA

305 Pine Tree Dr,

Dothan AL 36303

 

Phone: (863) 386-0276

toll free (800) 919-9008

Fax: (863) 204-4679

Email: drborkosky at gmail dot com

Dr. Borkosky's practice is limited to telehealth at the present time.

CURRICULUM VITA

please download my vita
updated 9/5/16
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© 2013, Bruce Borkosky, Psy.D.