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ADDITIONAL FORMS IF APPLIES



If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
authorization_to_release.pdf
File Size: 777 kb
File Type: pdf
Download File

child_intake_form.pdf
File Size: 309 kb
File Type: pdf
Download File

superbill.doc
File Size: 41 kb
File Type: doc
Download File

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