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New Client Forms Beaver Builder
For appointment consideration please go to the link below and fill out the form. Ruth Lynch will respond to your request at her earliest convenience.
All new clients, complete the following forms and submit them as attachments to RuthLynch211@gmail.com, prior to your first session.
- New Client Questionnaire
- Limits of Patient Confidentiality
- Acknowledgment of Privacy Practices (HIPAA)
- Telehealth Document
- Court Waiver
Parents and Legal Guardian, complete the additional form for your minor and submit prior to your first session.
- Parental/Guardian Consent Form