If you're a first-time client, please review and complete the following forms, bring them to your first session.
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Intake Form
- Services Agreement
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Notice of Privacy Policy
If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:
- Authorization for Release of Information
 Beginner's Meditation Course |
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| Intake Form |
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| Authorization for Release of Information |
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| Services Agreement |
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| Notice of Privacy Policy |
Note: To download Adobe Acrobat Reader for free, click here.
Give me a call at:
239.434.5855
Or send me an email at:
carol@ConsciousChoices.net