A Path To Change, LLC
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  • Home
  • About
  • Services
  • Resources
  • Contact
  • FAQ
  • Group Sign-Up
  • Intake Forms
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YOUR CART

Intake Forms

Minor Registration Form
File Size: 20 kb
File Type: docx
Download File

Adult Registration Form
File Size: 22 kb
File Type: docx
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Consent to Treatment
File Size: 35 kb
File Type: docx
Download File

Consent Signature Page
File Size: 14 kb
File Type: docx
Download File

HIPAA Info
File Size: 28 kb
File Type: docx
Download File

HIPAA Signature Page
File Size: 14 kb
File Type: docx
Download File

Credit Card Form
File Size: 14 kb
File Type: docx
Download File

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