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 -

office_policies.pdf | |
File Size: | 5671 kb |
File Type: |
Client's Disclosure copy

client_copy.pdf | |
File Size: | 5658 kb |
File Type: |
Phototherapy Consent

phototherapy_consent.pdf | |
File Size: | 282 kb |
File Type: |
Consent to Release Billing Information

advanced_roi.pdf | |
File Size: | 5682 kb |
File Type: |