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Julie Kopf, MSW, LCSW, RPT, RYT
Play Therapy Forms
Informed Consent for Services, Confidentiality Agreement, Fee Agreement, Telehealth Consent, Consent to Treat
Credit cards are kept on file and charged following services. New credit cards can be added to a clients file at any time.
Authorization to Exchange Information
This is a release of information. (as needed)
Your rights and protections against surprise bills and Good Faith Estimate.
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