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FORMS

ACT 31 Notice

Consent to Forensic Psychology Evaluation

Consent to Psych Eval

Patient Information

Personal History Form

Good Faith Estimate Disclaimer

WPS- Notice of Privacy Practices

WPS- Authorization to Release and Disclose Information

WPS- Billing Policy

WPS- Consent to Use and Disclose Your Health Information

WPS- Receipt and Acknowledgement of Notices

WPS- Notice of Privacy Practices

 

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