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Blue Mountains
Blue Mountains

Helpful Forms

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

           (For children up to age 13)

 

 

This is our Notice of Privacty Practices that is for your information and does not need to be turned in to us.

 

 

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 psychotherapy information:


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

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Helpful Forms

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