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Intake Packets
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Dr. Debra Pietrangelo, PsyD
Adult Intake Packet
Child Intake Packet
Joseph M. Macura, MS, LMHC
New Patient Packet
Michelle Mann-Saumier, LMHC
Child Intake Packet
Adult Intake Packet
Samantha Davis, LMHC
New Patient Packet
Samantha Foster, LMHC
Transgender Support Group Intake
Transgender Family Support Group Intake
Rachel Wolfield, LCSW-R
Child Intake Packet
Release of Information
Adult Intake Packet
Stephanie O'Hanlon-Kayalar, RN, BSN, MFT intern
Adult Intake Packet
Couples Counseling Packet
Child/Adolescent Intake Packet
Good Faith Estimate Form
Out Of Pocket Payment Agreement
Child Intake Packet
Adult Intake Packet
Good Faith Estimate of Psychotherapy Services