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Please complete the following forms and bring them with you to your first session:
Please also familiarize yourself with the
Notice of Privacy Practices as you will need to sign a form
stating you have read it and consent to it.
Couples therapy:
BOTH OF YOU should complete a set of paperwork.
Can't print?
Let Jane know and she will leave a clipboard in the waiting room for you. You will need to arrive approximately 15 minutes early.
Questions?
If you have any questions as you are filling out these forms, please note them down so that you remember to ask Jane when you come for your first session. You can always leave a question blank or a document unsigned until you have the opportunity to ask for more information.
© 2010, Jane McCampbell
EMDR Therapist and Marriage Counselor
Jane McCampbell Counseling Services, LLC
Minneapolis, Saint Paul and Edina MN
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