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FORMS

 

 

Instructions for Completing Forms For New Patients:
Download, Print out and Complete the following Forms, sign them and bring them to your 1st Appointment:

Adult Patients (over 18 years old):

Treatment Consent and Office Policies - Adult
Patient Information - Adult
Privacy Practices
Release of Information (to be filled out at the 1st appointment)

Child & Adolescent Patients (under 18 years old and their parents):

Treatment Consent and Office Practices - Child & Adolescent
Patient Information - Child & Adolescent
Privacy Practices
Release of Information (to be filled out at the 1st appointment)

All Rights Reserved - Pacifica Psychological Services - 2007