Lifeline Family Enrichment
  • Counselor Info
  • Services
  • New Clients
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  • Contact Us
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  • The Lifeline
  • COVID-19
  • We Are Moving
  • Counselor Info
  • Services
  • New Clients
  • Forms
  • Contact Us
  • Resources
  • The Lifeline
  • COVID-19
  • We Are Moving

Forms

COVID19 HEALTH INFORMATION
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COVID19 Health Information Letter 03/2020
File Size: 215 kb
File Type: pdf
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TBH INFORMED CONSENT
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Client TBH Informed Consent Form
File Size: 97 kb
File Type: pdf
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INFORMATION SHEET
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Patient Information Sheet
File Size: 207 kb
File Type: pdf
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QUESTIONNAIRE
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New Patient Questionnaire
File Size: 112 kb
File Type: pdf
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NEW PATIENT INTAKE FORM
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New Patient Intake Form
File Size: 224 kb
File Type: pdf
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OFFICE POLICIES
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Office Policies
File Size: 194 kb
File Type: pdf
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CONFIDENTIALITY & INFORMED CONSENT 
​FOR PSYCHOTHERAPY
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Confidentiality & Informed Consent For Psychotherapy
File Size: 186 kb
File Type: pdf
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NOTICE OF
​PRIVACY PRACTICES
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Notice of Privacy Practices
File Size: 220 kb
File Type: pdf
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CREDIT CARD AUTHORIZATION
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Credit Card Authorization
File Size: 454 kb
File Type: pdf
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