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  • Meet our Clinicians
    • Lizzy Blake, LMSW
    • Michael Boino, LMSW
    • Emily Fadgen, ATR-BC, LCPAT
    • Perri Hooper, LGPC
    • Tijana Jirecek, LCPC, NCC
    • Brent L. Jones, LPC, NCC, ACS, LCPC
    • Joanne Lang, LCPC
    • Kristy Leone, MA, LGPC, LGPAT
    • Cindy Lynkew, MSW, LMSW
    • Megan Murdock, MSW, LMSW
    • Katy McConnell, MSW, MPH, LMSW
    • Amy Ocasio, LGPC, NCC
    • Alyssa Rampath, LCPC
    • Randi Robbins, LCSW-C
    • Keri Seitler, LGPC
    • Lori Seraphin, LCSW-C
    • Danielle Stone, LGPC
    • Ellen Tippett, LMSW
    • Katelyn Trentalange, MSW, LCSW-C
  • Contact Us
    • Location & Contact Info
    • New Client Request
  • EMDR Intensives
    • What is an EMDR Intensive?
    • Learn More About EMDR
  • New Client Paperwork
  • Our Office
  • Careers
  • Michael Boino, LMSW
  • Home
  • Meet our Clinicians
    • Lizzy Blake, LMSW
    • Michael Boino, LMSW
    • Emily Fadgen, ATR-BC, LCPAT
    • Perri Hooper, LGPC
    • Tijana Jirecek, LCPC, NCC
    • Brent L. Jones, LPC, NCC, ACS, LCPC
    • Joanne Lang, LCPC
    • Kristy Leone, MA, LGPC, LGPAT
    • Cindy Lynkew, MSW, LMSW
    • Megan Murdock, MSW, LMSW
    • Katy McConnell, MSW, MPH, LMSW
    • Amy Ocasio, LGPC, NCC
    • Alyssa Rampath, LCPC
    • Randi Robbins, LCSW-C
    • Keri Seitler, LGPC
    • Lori Seraphin, LCSW-C
    • Danielle Stone, LGPC
    • Ellen Tippett, LMSW
    • Katelyn Trentalange, MSW, LCSW-C
  • Contact Us
    • Location & Contact Info
    • New Client Request
  • EMDR Intensives
    • What is an EMDR Intensive?
    • Learn More About EMDR
  • New Client Paperwork
  • Our Office
  • Careers
  • Michael Boino, LMSW

New Client Paperwork

Starting therapy can be a difficult decision, but one we believe you will appreciate with time.  To make the process a little bit smoother, the necessary legal documents are provided below.  Take your time reading through, and feel free to contact us or bring any questions to the first session; or, if you feel comfortable, bring them in signed and you can your counselor can get down to business with more time in the first session.
Patient Information Intake Form
File Size: 390 kb
File Type: pdf
Download File

Notice of Privacy Practices
File Size: 44 kb
File Type: docx
Download File

Fee Schedule & Late Cancellation Form
File Size: 18 kb
File Type: docx
Download File

Consent to Bill Insurance
File Size: 31 kb
File Type: docx
Download File

Release of Information Waiver
File Size: 635 kb
File Type: pdf
Download File

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