Dana Laffin, Psy.D., PLLC Clinical Psychologist
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Forms

Below please find the forms you will need to complete. Feel free to download and print them to complete for our first session, or you can fill them out at the office if you prefer. 

The Client Registration Form is basic information, such as contact information, about you that I will need to keep on file. 

The Information and Disclosure Statement includes information on my credentials and therapy approach, as well as information about confidentiality, general office policies, and our respective rights/responsibilities. It also includes a consent form for you to sign after carefully considering the information provided. Separate forms are available for adult clients and clients between the ages of 13-17.

The Release of Information Form is used if you want me to release or obtain records, or discuss your care with anyone else (family, friends, doctors, former therapists, etc.). This can be completed as needed during the course of treatment and is not required for the first appointment.


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