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Documents for clients
Fee Schedule Consent Form
Service Agreement
Intake Form
Telehealth Policy and Procedure Consent
Disclosure of Information to Third Parties Consent
Complaints or Grievances (External) Policy
Confidentiality Policy
WeTransfer Consent Form for Video Uploads
Change of Business Name
Referral Form
WeTransfer Consent Form for Video Uploads
Parent/Guardian Name
Child’s Full Name
Therapist name:
Millie Evans
Date
Signature of parent/guardian
Submit
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