Forms:

These forms are in Adobe Acrobat (.pdf) format. Please download the forms to your computer and fill them out either electronically (in your computer) or print them, fill them out and sign them where requested.

Form File Name
New Client Welcome: New_client_letter_06.pdf
New Client Data Form:

New client form.pdf

HIPPA Notice of Confidentiality:
noticeofconfidentiality.pdf
Permission to Release information: Release_of_info.pdf
Consent for Eye Movement Desensitization and Reprocessing Treatment EDMR_Consent.pdf
Retainer Agreement for Court/Deposition Appearances: CLO_retainer_agreement2006.pdf
Couple Vision Statement CoupleVisionState.pdf
   

 

 

   

 

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