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Susan M Beglinger

M.S., LMFT, LCADC, AAMFT Approved Supervisor

Therapy for Individuals, Couples, & Families

Forms

The obstacle is the path

-Zen Saying-

Information and Disclosure Form (New Clients)

If you are a new client , please read these forms carefully, sign and bring with you to you next appointment.

Client Information and Insurance Form (New clients) (Existing clients - update yearly)

If you are a new client or if you are and existing client and pertinent information has changed, please fill out these forms and bring them to your next appointment.

Confidentiality Form (New clients)

Please read through and sign in the appropriate area that you understand and agree to this privacy statement.

Please print all above forms.

It is your responsibility to read through all forms and ask questions

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