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Butterfly

NEW CLIENT PAPERWORK

Please complete the forms below prior to your first session.

BEHAVIORAL HEALTH ASSESSMENT

FINANCIAL STATEMENT & CONTRACT

HIPAA

INFORMED CONSENT

LUCE MENTAL HEALTH THERAPIST, LLC

(770) 810-5764

One Georgia Center

600 W Peachtree St, 17th Floor, Atlanta, GA 30308

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©2018. ALL RIGHTS RESERVED.

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