Emotional Wellness Counseling PLLC
Forms
Please print and complete forms to bring with you to your initial session. You may also email or fax them to me at: [email protected] or fax (505) 557-6318
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intake_and_history_form_ewc_2023.docx | |
File Size: | 20 kb |
File Type: | docx |
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pdf_consent_for_treatment_ewc_2023.pdf | |
File Size: | 16 kb |
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pdf_hipaa_notice_of_privacy_practices_ewc_2023.pdf | |
File Size: | 44 kb |
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informed_consent_for_telehealth_2020.pdf | |
File Size: | 131 kb |
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pdf_authorization_for_release_of_confidential_infomration_ewc_2021.pdf | |
File Size: | 24 kb |
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