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DR. BENSON'S PRIVATE PRACTICE
FORMS
Please click on each of the 5
forms, print them out, fill-in the requested information, and bring them
to the first session.
However, only if you have
questions preventing you from completing them in advance, please notify
Dr. Benson to arrange to fill-out forms a half-hour ahead of your first
session.
Intake Form
Agreement for Psychological
Services Form
Request for
Confidential Handling of Health Information Form
Health Information Privacy Form
Practice
Termination Form |
