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Home
Our Therapists
Our Psychiatrists & Sleep Specialists
FAQs
Forms & Links
Home
Our Therapists
Our Psychiatrists & Sleep Specialists
FAQs
Forms & Links
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Forms & Links
Perry Guthrie, Ph.D.
Client History
Disclosure Statement and Agreement for Services
Patient Information Sheet
Couples History
Child/Adolescent History
Mark Welch, D.O.
Appointment Agreement
Release of Information
Insurance Authorization
Medical Contract and Office Policy
Notice of Privacy Signature page
Privacy Practices
Instructions for Telemedicine Appointment
Gloria Sanchez-Perez, M.S., LMFT
Patient Information Sheet
Client History
Disclosure Statement and Agreement for Services
Child Adolescent History
Couples History
No Secrets Policy for Family Therapy and Couple Therapy
Contractro de Servicios y Declaracion de divulgacion
Historial de Nino Adolescente
Historial de la Pareja
Historial del Cliente
Poliza de Ningun Secreto
Karen P. Williams, Ph.D.
Client Information Sheet
Informacion Del Cliente
Records Release Form
Records Release Form Spanish
Privacy Documents
Privacy Documents Spanish
Informed Consent COVID
Denise Persichino, D.O.
Intake Form
Medical Care Contract
Use & Disclosure of Medical Information (Release Form)
Missed or Cancelled Appointment Agreement
Privacy Practices
Telemedicine Consent Form
Timothy Lee, M.D.
Intake Form
Appointment Agreement
Medical Care Contract
Insurance Authorization
Notice of Privacy Practices
Release of Information
Telemedicine Consent Form
Credit Card Payment Form