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Anna Wellman, JD, LCSW
Anna Wellman, JD, LCSW
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Anna Wellman, JD, LCSW
Anna Wellman, JD, LCSW
Home
Services
About Anna
How I Can Help
Lectures
Forms
Links
Contact
Forms
Intake Paperwork
These forms are helpful to review and fill out prior to arriving for an intake appointment. They include important information related to treatment, your privacy, and what to expect in therapy.
Client Information
Treatment Authorization
Release of Information
HIPPA Disclosure
HIPPA Privacy
Notice of Privacy Practices
Credit Card Authorization