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Elizabeth Pierce, Ph.D.

Licensed Psychologist

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Forms

New clients are asked to complete some or all of the forms below.  You will email them back or bring them in.  Instructions will be given when the initial appointment is arranged by phone.  

Thank-you and I look forward to meeting with you!

Registration Form

Outpatient Services Agreement

Telehealth Consent Form

HIPAA Privacy Notice

Form for Receipt of HIPAA Privacy Notice

Attendance Policies

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