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Butler & Associates Psychotherapy, PLLC

Specializing in therapy with children, adolescents, and young adults

Forms

If you’re a new client, please complete the following forms and bring them to your first therapy session:

  • Client Information Form
  • Consent Form
  • Cancellation Policy
  • B & A Privacy Practices

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

  • Authorization to Disclose

Note: To download Adobe Acrobat Reader for free, click here.

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