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therapy 4kidz,inc

Child and Adolescent Therapy/Family Therapy

New Client

New clients are asked to print out a registration packet. This packet includes two documents for you to read: the Client Agreement and the Notification of Privacy Practices. It also contains two forms for you to print out, complete, and bring to our first meeting: the Signature Form and the Client Information Form. Please also print out and complete the Child Clinical Assessment Packet. Completing this paperwork in advance will allow us to focus immediately on how I can provide help when we first meet.

Therapy 4Kidz, Inc/Christine Pierozzi-Matusek, LCSW

129 Haven Street, Suite D1

Hendersonville, TN.37075

615-513-7151

Note: All clinical information and urgent needs should not be emailed. Please call 911 in an emergency or go to the nearest emergency room.

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