Chari Goldstein, M.S. LMFT
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Licensed Marriage and Family Therapist
CLIENT FORMS & INFORMATION
Please print out and complete the appropriate forms prior to your first appointment.
Office Polices and Signature Consent Form
Officepolices1.2018.docx
(DOCX — 18 KB)
Individual Intake Form
Individual Intake Form9.15.docx
(DOCX — 18 KB)
Couples Intake Form
Couples Intake Form.9.15docx.docx
(DOCX — 17 KB)
Notice of Privacy Form ( please print and keep for your records)
NoticePrivacyPractices.txt
(TXT — 13 KB)
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