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Practice Forms

New patients: please email completed forms 1 or 2 (depending on treatment sought) and forms 3 and 6 prior to your first appointment.

01

For Individuals

04

Release of Information

02

For Couples

05

Clinical Consultation Agreement

03

Telemedicine Consent

06

HIPAA 

© 2035 by Dr. Victoria Curea - Licensed Marriage and Family Therapy, Inc. 

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