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Podcast: Less Talk More Healing

Cutting Edge Therapy with Scott Allen Smith LPC, CH

First Appointment Information

• Please print and complete the following documents for your intake session.
• Complete all sections of all paperwork. Give yourself plenty of time to complete this paperwork.
• The Client History section of this paperwork should be thorough to assist your therapist in understanding your background. All of the questions in this section should be complete to allow for a first session. 
• The HIPAA Disclosure form is for your records. It does not need to be brought to the sessions. Bring all other paperwork to your first session.

Thank You,

Scott Smith MA, LPC, CH
P.F Dover Counseling and Hypnosis, P.L.L.C
300 Trophy Club Dr. Ste. 300
Trophy Club, TX. 76262
(Office with True Medicine)
(309)-363-2544

First Appointment Paperwork

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Symptom Checklist

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HIPAA Disclosure

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