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Informed consent to treatment

Please print, read, complete, and bring to your first appointment.

Client Information Form

Please print, complete, and bring to your first appointment.

Contact Information for Adult Client Form

Please print, complete, and bring to your first appointment.

HIPAA Information

Please print and keep for your records.

Acknowledgement of Receipt of HIPAA Information Form

Please print, complete, and bring to your first appointment.

Release of Information Form

Please print, complete, and bring to your first appointment for any providers with whom you would like me to consult.

Credit Card Payment Consent Form

Print and complete if you would like to pay by credit card.

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