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Elm Street Clinic Patient Forms
If you're a new client, please complete the following forms and bring them to your first therapy session.
If you would like Elm Street Clinic to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
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Elm Street Clinic
Intake Packet
Release of
Information
Privacy Policy
Elm Street Clinic
Intake Packet
Release of
Information
Privacy Policy
Accepted Insurance Plans
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