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Researching and Writing

CLIENT FORMS

Please review and complete the following forms prior to your first appointment:

ADOLESCENT INTAKE FORM

NOTICE OF PRIVACY PRACTICES

COMMUNICATIONS POLICY

Parents or Guardians of clients under the age of 18 please complete the following form:

OUTPATIENT SERVICE CONTRACT

Clients between the ages of 13 and 17 please complete the following form:

PARENT/GUARDIAN INTAKE FORM

Clients over the age of 18 please complete the following form:

ADULT INTAKE FORM

If you would like to refer a new client to my practice please complete the following form and fax it to

701-751-1733

REFERRAL FORM

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