forms

Below are the forms that we will cover during your initial session.  Please download, print and bring both completed forms with you to your first appointment.  

intake__july2019_.pdf
File Size:	72 kb
File Type:	pdf

Download File

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disclosure_statement__july2019_.pdf
File Size:	87 kb
File Type:	pdf

Download File

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consent_to_allow_electronic_communication__july2019_.pdf
File Size:	54 kb
File Type:	pdf

Download File

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notice_of_privacy_practices__july2019_.pdf
File Size:	103 kb
File Type:	pdf

Download File

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jamelyn@jamelynkeatts.comjamelyn@jamelynkeatts.com​ // 408.836.2896