Christian Bringolf MA LMHC Forms
Please print off, review, sign and bring all the documents, with you to your first session.
If you have questions about these documents, please contact me and I'd be happy to answer them.
If you have questions about these documents, please contact me and I'd be happy to answer them.

disclosure_statement_updated.pdf |

new_pt_intake_060419.pdf |

new_credit_card_auth.pdf |

fee_agreement.pdf |
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Drayton Lemert MA LMHC Forms

bc_authorization_form__1_.pdf |

hipaa_d__1_.pdf |

bc_drayton_lemert_ma_lmhc_disclosure_statement__2_.pdf |

medical_purpose__1_.pdf |

intake_form_ii.pdf |

new_credit_card_auth__1_.pdf |
Geramy Hudson MA LMHC Forms

geramy_disclosure_statement.pdf |

updated_fee_agreement.docx.pdf |

hipaa_npp[7727].pdf |
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