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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

I’m a paragraph. Double click here or click Edit Text to add some text of your own or to change the font. This is the place for you to tell your site visitors a little bit about you and your services.

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