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Interracial Couple

Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

  • Client Intake Form
  • Informed Consent Form
  • Insurance Benefits Form

If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of medical information:

  • Release of Information Form


  Client Intake Form - Printer Friendly PDF Version

Privacy Practices

   RELEASE_OF_INFORMATION-2018.doc- Printer Friendly PDF Version

Insurance Benefits Form.jpg


Note: To download Adobe Acrobat Reader for free, click here.

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Helpful Forms

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