NEW CLIENT PAPERWORK

Please fill out the following paperwork before your first appointment:

Dandelion

TELL ME A LITTLE BIT ABOUT YOURSELF

Client Information
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CONSENT TO MOBILE AND VIRTUAL THERAPY

Consent and Confidentiality
 
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RELEASE OF INFORMATION

Please fill out a release of information for each person you want me to speak to and specify what is to be released and for what purpose.  If you have a psychiatrist or therapist, I would appreciate a release for them to coordinate care.

Release of Information