Intake Forms

Client Intake

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  • Date Format: MM slash DD slash YYYY

Informed Consent

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  • Type your full name
  • Date Format: MM slash DD slash YYYY

Informed Consent For Online Therapy

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  • Date Format: MM slash DD slash YYYY

Notice of Privacy Practices - HIPAA

  • Type your full name
  • Date Format: MM slash DD slash YYYY
  • Type your full name
  • Date Format: MM slash DD slash YYYY