Shannon Sampson, M.A., LMFT
Psychotherapy for Individuals, Couples & Families
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1. Please print and complete the appropriate New Client Forms below, and bring them with you to our first session.
New Client Forms- Adult.pdf
File Size: 100 kb
File Type: pdf
Download File

New Client Forms- Adolescent.pdf
File Size: 76 kb
File Type: pdf
Download File

2. Please print, review, and sign the Informed Consent Forms below, and bring them with you to our first session.
Informed Consent- Adults and Adolescents.pdf
File Size: 105 kb
File Type: pdf
Download File

3. The document below is for your own records, and is not necessary to bring with you to our session. Please review this form prior to signing the acknowledgement of receipt in the above signature pages. Thank you!
HIPPA Notice of Privacy Practices.pdf
File Size: 68 kb
File Type: pdf
Download File

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