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New Client Forms
- Available for Download
If you wish to complete the Intake forms prior to your first appointment, please download the following forms below and bring with you for your first appointment.
New Patient Forms:
Client Background.doc
Information and Consent Form Contractors.doc
HIPAA Notice 2 columns.pdf
Agreement for Pay for Professional Services.doc
Assignment of Benefits And Insurance Info 2010.doc
Wesley Center for Play Therapy Forms:
WCPT Preparing your child.pdf
WCPT Parent-child Intake Form.pdf
WCPT authorization for video taping.doc
Confidential Child Intake Information.doc
WCPT Family Information.pdf
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