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Interracial Couple

Helpful Forms

If you are a first-time client, please review and complete the following forms and bring them to your first session.

 


Client Intake

Consent to Treat

Payment Policy

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the practitioner.

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By clicking send you agree that the phone number you provided may be used to contact you (including autodialed or pre-recorded calls). Consent is not a condition of purchase.

Helpful Forms

Click here to view and print forms for your appointment.

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