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Elizabeth Pierce, Ph.D.

Licensed Psychologist

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Forms

New patients are asked to print and complete the first three forms. Please bring them to the initial visit.
Reading and/or printing the fourth form, the HIPAA Privacy Notice, is optional.
Please call with any questions/concerns.

Registration Form

Outpatient Services Agreement

Form for Receipt of HIPAA Privacy Notice

HIPAA Privacy Notice

Resources

Parent Group Information

In Progress

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