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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Elm Street Clinic

30555 Southfield Rd #510

Southfield MI 48076

Call Us 248.642.8263

© 2020 by Elm Street Clinic.