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INFORMED CONSENT FORM

Print, then scan and email to Sara.Ruebelt@gmail.com or bring the form to your first in-person session.

Forms: The Clinic

ADULT INTAKE FORM

Print, then scan and email to Sara.Ruebelt@gmail.com or bring the form to your first in-person session.

Forms: The Clinic

MINOR INTAKE FORM

Print, then scan and email to Sara.Ruebelt@gmail.com or bring the form to your first in-person session.

Download the form

Forms: The Clinic

INFORMATION RELEASE FORM

Print, then scan and email to Sara.Ruebelt@gmail.com or bring the form to your first in-person session.

Forms: The Clinic
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