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Client Forms All documents are provided in pdf format.
Any form requiring your completion/signature should be downloaded and printed, then brought in with you to
your appointment. Please DO NOT EMAIL completed forms.
Client Bill of Rights - Minnesota Board of Marriage & Family Therapy (pdf) HIPPA Notice of Privacy Practices (2 pgs.) (pdf)
Adult Intake Form (4 pgs.) (pdf) Credit Card Authorization Form (pdf) HIPPA Receipt Acknowledgement (pdf)
Authorization For Release of Information (pdf) Confidentiality Agreement for Couples & Family Therapy (pdf) |
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