Lisa M. Stephen, Ph.D.
HELPING PEOPLE HELP THEMSELVES
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Client Forms

Client Registration Form – Adult

Client Brochure and Informed Consent

Client Brochure and Informed Consent Agreement Signature Form

Notice of Privacy Practices

Consent to Use and Disclosure Protected Health information (PHI) – Adult

Consent for Electronic Communication

Disclosure of Information Signature

Informed Consent for Telepsychology

Telepsychology Signature Form

Out of Office Information

Lisa M. Stephen, Ph.D.
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