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Lynn Davilla Shields
LYNN DAVILLA SHIELDS, PHD
Welcome to my practice. Before we meet it will be helpful if you can print, read and fill out the following documents. These documents provide important information to you about my practice and give me some basic information to help start our work together.
1. Patient Information Form
2. Consent for Treatment
3. Psychotherapist-Patient Services Agreement
4. Notice of Psychologists’ Policies and Practices to Protect the Privacy of Your
Health Information (HIPPA)
If you have questions and/or would prefer to wait and sign the consent after we meet that is no problem. I will be happy to answer any questions you have about the forms.
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