Lolita M. Domingue
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Individual Intake Form -
| intake_form.pdf | |
| File Size: | 318 kb |
| File Type: | |
Family Intake Form -
| family_intake_form.pdf | |
| File Size: | 321 kb |
| File Type: | |
Office Policy Disclosure Form -
| disclosure_.pdf | |
| File Size: | 5649 kb |
| File Type: | |
Client's Disclosure copy
| disc_client_1126.pdf | |
| File Size: | 5645 kb |
| File Type: | |
Phototherapy Consent
| phototherapy_consent.pdf | |
| File Size: | 282 kb |
| File Type: | |
Consent to Release Information
| consent_to_rlease_information.pdf | |
| File Size: | 5671 kb |
| File Type: | |