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Forms

Please read and/or complete the following forms and return them before your initial visit.

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  • Consent for Assessment and HIPAA Signature Pages:  To access all fields, the document must first be saved and opened from the saved file. If parents are divorced, both parents should complete this form. Children 12 and older should also sign this form.

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  • Release of InformationPlease complete this form if you would like us to communicate with other individuals involved in your (patients over 18 years old) or your child’s care (patients under 18 years old). To access all fields, the document must first be saved and opened from the saved file. Children 12 and older should also sign this form.

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