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Forms

New Client Intake Form

New Client Intake Form.pdf

Washington State Disclosure Statement

Washington State Disclosure Statement.pd

Release Of Records

ROI.pdf

HIPPA.pdf

HIPPA

HIPPA Signature.pdf

HIPPA Signature

TELEMENTAL HEALTH INFORMED CONSENT.pdf

Telehealth Consent

TATIANA POPOV

Therapist and Clinical Supervisor

Tel: 415-317-3324

600 1st Ave
Seattle, WA 98104

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