SPENSIEN INSPIRED, A SUBSIDIARY OF PATRICIA A. JONES, LCSW, PLLC
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Psychotherapy forms  
Please download, print and complete these forms and bring them with you to your initial appointment.  Clients ages 16 and older, please also complete the 3 page client history document.  Parents, please complete all forms in your child's name.  Thank you!
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client_history.doc
File Size: 40 kb
File Type: doc
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face_sheet_with_insurance_consent.docx
File Size: 24 kb
File Type: docx
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policies_and_consent_form.docx
File Size: 25 kb
File Type: docx
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release_of_info_pcp.docx
File Size: 14 kb
File Type: docx
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release_of_info.docx
File Size: 14 kb
File Type: docx
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acknow_and_receipt_of_pp_on_lh.docx
File Size: 24 kb
File Type: docx
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notice_of_pp.docx
File Size: 19 kb
File Type: docx
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  • Welcome
  • Therapy
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  • Workshops and Retreats
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  • FORMS
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