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    • Lewis E. Barnett, JR, LCSW-C
    • Mike Costanzo, MAC
    • Feona Davis, MA, LCPC
    • Howard Hines, PhD
    • Greg Johnson, MATS, LCPC
    • Janet MacFarlane, MSW, LCSW-C
    • Andrea Morris, PhD, LCPC, NCC
    • Joe Pacifico, MBA, MS, LCPC
    • Troy Parrish, MA, LCPC
    • Grace Reamer, MA
    • Janice Sams, MSW, LCSW-C
    • Chun-Shin Taylor, MA, LCPC
    • Kenneth O Williams, MA, LCPC, Exec. Director
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Downloadable Forms (PDF)

Initial Intake Forms (Please Print all Three Forms)

Intake Form

Request for Treatment and Authorization to Communicate with PCP

Statement of Policies and Proceedures and Patient Rights

Additional Forms

Child History Form

Consent to Release Information

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