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Forms:

Please fill out these 4 forms and email them back to me at RawnMartin@gmail.com

Capturing an Archetype

Client Information

pdf
word
HIPAA pdf word
Practice Proceedures pdf word
Internet Therapy & Communications Consent Form pdf word

____________________

If communication with other individuals is necessary to coordinate care, I will ask you to
fill out this form:

Authorization to Receive or Disclose Information

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