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Forms

In order to save time and dedicate as much time as possible to your session, please print and complete the following forms PRIOR to your initial appointment.

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Informed Consent

Financial Agreement

Demographic Intake

HIPAA Notice

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Let's begin your journey. Call or email me to schedule a free 15-minute consultation.

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3754 Lavista Rd., Suite 200

Tucker, GA 30084

Email: info@dswdiversity.com

678-463-8247

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Now seeing Saturday clients from 1:00 - 5:00.

© 2020 DSW Diversity Consulting LLC

Your health and safety is my primary concern. During the COVID-19 outbreak, all sessions will be conducted through video telehealth.

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