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HEART CENTERED HEALING CONNECTIONS
Creating Healing Connections at the Heart Center
Forms
Email completed copies of relevant forms to your therapist/coach
If you are new to our therapy practice, please complete the following forms and return them when you come for your first session:
If you are interested in coaching services, please complete the following coaching contract and return it at your first meeting.
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Please complete the following form if you would like me to coordinate care with a family member and/or another provider such as your psychiatrist or primary care physician:
The following attachment explains Patient Rights and HIPPA Authorizations. Please read prior to coming to your first session.
If you are participating in one of our workshops or retreats, please compete the forms below.
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