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Lesli Maul, MSW, LCSW, CHt
Supporting Bright Futures
Office Forms
Below are some of the common forms used in my office. Prior to your first appointment with me, you may elect to print out some of these documents and complete them at home. Please be sure and bring them to our first session. First appointment paperwork is designated with an asterisk*.
Other forms on this page have to do with ongoing treatment and are available for clients to use between sessions.
Adult Intake Form*
Face Sheet
*
Insurance Form
*
Cancellation Policy Agreement*
Credit Card Authorization
*
Client Consent and Understanding
*
Telemedicine Informed Consent
Guidelines for Telemedicine
Release of Information
Food Log
Journal Assignment
Daily Activities of Recovery
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