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Telehealth (Therapy on your computer) Consent Form

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*  These forms can be filled out here or in the office to be seen.

   New Patient Paperwork: 

 *  New Patient(Intake) Packet        Adult                 

                                                                   Minor  (17yo and under)

  * No Call / No Show Policy Form                               

  * Credit Card Consent Form                                      

    Additional Documents:

   Minor -  Consent Form

   Telehealth (Therapy over the Internet) Consent Form

   ART (Accelerated Resolution Therapy) Consent Form

   Authorization to Disclose Protected Health Information

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There will be a $ 60.00 no show fee assesed for cancelations

under 24 hours notice.