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Practice Forms

New patients: please email completed forms 1, 2 and 3 prior to your first appointment.

01

New Patient Information

04

Release of Information

02

HIPAA 

05

Clinical Consultation Agreement

03

Telemedicine Consent

06

The Writer's Room

Please email or call.

© 2035 by Dr. Victoria Curea - Licensed Marriage and Family Therapy, Inc. 

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