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Senior Citizen Couple
Senior Citizen Couple

Helpful Forms



If you're a new client, please complete the following forms and bring them to your first therapy session.

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:


Referals fax summary to 864-626-3606


Note: To download Adobe Acrobat Reader for free, click here.

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Helpful Forms

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