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Distinctively Yours, LLC

Call us at (434) 421-5161

  • Sign In
  • Create Account
  • Bookings
  • My Account
  • Signed in as:
  • filler@godaddy.com
  • Bookings
  • My Account
  • Sign out

Signed in as:

filler@godaddy.com

  • Home
  • Depression & Anxiety
  • Trauma and PTSD
  • Clinical Supervision
  • Service Fees
  • Payment
  • Forms
  • COVID-19 Information
  • Privacy Policy
  • #TherapistBriefs
  • Contact Us

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Therapy Contractual Forms

Distinctively Yours Patient Information Form (pdf)Download
Distinctively Yours, LLC Telehealth Informed Consent (pdf)Download
Distinctively Yours Client Agreement for Therapy Services (pdf)Download
Distinctively Yours Authorization for Use or Disclosure of PHI (pdf)Download
Distinctively Yours, LLC Intake Form (pdf)Download

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