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LaVerne M. Kalafor

LCSW, Ed. S., CCHt

Please print these forms to complete and bring to your first session.

Client Information Form

Billing Authorization Form

Informed

Consent

Patient Rights

Telehealth
Consent Form

Guide for
Telehealth

Automated Notetaking Consent Form

If participating in Hypnotherapy, download and sign this form:

Hypnotherapy Rights and Disclosure Form

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