MIDTOWN art THERAPY
art as the catalyst for growth
Forms
Majica Phillips, MFT
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Intake FormPlease print and bring to your first session.
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Consent to Treat for Therapy.
Please print and bring to your first session.
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Authorization to Release Information
Print this if you need to share your therapy information with an outside provider (i.e. Doctor, previous therapist, Teacher, etc.).
Tabitha Langedfeld, MFT Intern
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Intake Form
Please print and bring to your first session.
-
Consent to Treat for Therapy
Please print and bring to your first session.
-
Authorization to Release Information
Print this if you need to share your therapy information with an outside provider (i.e. Doctor, previous therapist, Teacher, etc.).