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Required Forms

Please download and  fill out the forms below, and bring them with you to your first session.  If you have any questions about them, your therapist will be happy to discuss them with you at that time.  If unable to complete the forms prior to your arrival, please arrive 15-20 minutes prior to your scheduled appointment to complete the forms.

Thank you,

My Moment My Life


Client Information
File Size: 18 kb
File Type: docx
Download File

Informed Consent
File Size: 29 kb
File Type: docx
Download File

mmml_hipaa.docx
File Size: 31 kb
File Type: docx
Download File

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