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Forms

Please bring completed forms to first session or send via mail or fax
Notice of Privacy Practices
New and returning clients
Service and Financial Agreement
New and returning clients
Client Intake Information Form
New and returning clients
Credit Card Authorization Form
Credit Card Authorization Form
For time of service payments by video-based or minor clients 
Release of Information Form
For granting permission to release or receive client information
TeleMental Health Therapy Informed Consent Form
For new video-based therapy clients
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