Marcie Rubel, LCSW
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Forms

Intake Form

intake_form_in_english_updated_2019.docx
File Size: 21 kb
File Type: docx
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intake_form_-_spanish.docx
File Size: 77 kb
File Type: docx
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Consent to Treatment and Confidentiality 

consent_form_-_english.docx
File Size: 111 kb
File Type: docx
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consent_form_-_spanish.docx
File Size: 103 kb
File Type: docx
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Insurance Information - Optional

insurance_-_english.docx
File Size: 85 kb
File Type: docx
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