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Wellness PSI

Sherri Gallagher, Ph.D., Child Psychologist

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Forms

Downloadable Forms

All forms are provided as PDFs. Please print them, complete them, and bring to your appointment.

Informed Consent for Return to Office COVID-19
Informed Consent Walk and Talk
Telepsychology Consent Form
Notice of Privacy Practices
Informed Consent for Psychotherapy
Collateral in Therapy Contract
Child Therapy Contract
Child & Adolescent Intake Form
Authorization to Release Information
Adult Intake Form

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